Northstar Pain Management
LBN: Cordova Pain Specialists, Pllc
Northstar Pain Management is an health care organization with primary practice located at 1540 Appling Care Ln Suite 105, Cordova TN 38016-4957. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Cordova Pain Specialists, Pllc can be contacted via phone (901) 444-3950, or through Miles, John Wyatt via phone (901) 444-3950.
Contact Information
Primary practice address
1540 Appling Care Ln Suite 105
Cordova TN 38016-4957
Phone: (901) 444-3950
Fax: (901) 444-3866
Website:
Authorized official contact:
Name: Miles, John Wyatt Doctor of Osteopathy (DO)
Phone: (901) 444-3950
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2168 | Tennessee |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 2168 | Tennessee |
Profile Details
| NPI number | 1437565900 |
|---|---|
| LBN Legal business name | Cordova Pain Specialists, Pllc |
| DBA Doing business as | Northstar Pain Management |
| Authorized official | Miles, John Wyatt Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2014 |
| Last updated | Mar 26th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437565900 | NPPES |
| Tennessee | MEDICAID | 1520769 |
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