Organization
PAIN MANAGEMENT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A GLENSKI MD (PRESIDENT/CEO)
(913) 428-2900
Entity
Organization
Contact information
Practice address
10550 QUIVIRA RD, SUITE 270, OVERLAND PARK, KS 66215-2306
(816) 763-1559
(816) 965-8404
Mailing address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509679106
—
MO
01
—
CH6776
RR MEDICARE KCP
MO
01
—
H530000
MEDICARE
MO
Enumeration date
03/31/2017
Last updated
03/31/2017
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