Provider Demographics
NPI:1386896728
Name:COMPLETE PAIN CARE, LLC
Entity type:Organization
Organization Name:COMPLETE PAIN CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:D
Authorized Official - Last Name:PEARL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-665-4344
Mailing Address - Street 1:600 WORCESTER RD STE 301
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5316
Mailing Address - Country:US
Mailing Address - Phone:508-665-4344
Mailing Address - Fax:508-665-4355
Practice Address - Street 1:148 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2505
Practice Address - Country:US
Practice Address - Phone:508-665-4344
Practice Address - Fax:508-665-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0500796269OtherRRMC
MA1543040OtherFIRST HEALTH
MAJ19458OtherMEDICARE ADVANTAGE, PPO
MA1717907OtherAETNA HMO
MA2381497OtherAETNA
MAA28830OtherMEDICARE ID TYPE UNSPECIFIED
MA156037OtherTUFTS
MA3175090Medicaid
MAJ18472OtherBLUE CROSS/BLUE SHIELD
MA1779373OtherUNITED
MA273800OtherHARVARD PILGRIM
MA7271010OtherAETNA NON-HMO
MA2381497OtherAETNA
MA156037OtherTUFTS
MA1717907OtherAETNA HMO