Cape Cod Pain Management, Pc

LBN: Cape Cod Pain Management, Pc
Cape Cod Pain Management, Pc is an health care organization with primary practice located at 68 N Main St , Carver MA 02330. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Cape Cod Pain Management, Pc can be contacted via phone (508) 747-7246, or through Gannon, David via phone (508) 747-7246.

Contact Information

Primary practice address
68 N Main St Carver MA 02330
Fax: (508) 747-7256
Website:
Authorized official contact:
Name: Gannon, David Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Massachusetts
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X Massachusetts

Profile Details

NPI number 1073566410
LBN Legal business name Cape Cod Pain Management, Pc
DBA Doing business as
Authorized official Gannon, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Apr 24th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073566410 NPPES
Massachusetts MEDICAID 9785825

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