OrganizationActive
Advanced Pain Management PA
NPI 1639413347 · Pain Medicine (Anesthesiology) Physician · Independence, MO
Provider details
- NPI number
- 1639413347
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shirley Dehardt, Practice Administrator(913) 302-2703
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
C/O Centerpoint Medical Center
19550 E 39th St, Ste 110
Independence, MO 64057-2353
Phone: (816) 698-8900
Fax: (816) 698-8905
Approximate (ZIP-level) locationGet directions
Mailing address
3604 Saddle Ridge
Independence, MO 64057-2332
Registry dates
- Enumerated
- 2012-11-19
- Last updated
- 2021-09-28
- Certified
- 2021-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.