Organization
PHYSICIANS PAIN AND SPINE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN X WU MD (MEDICAL DIRECTOR)
(248) 342-5207
Entity
Organization
Contact information
Practice address
14986 ANGELA DR, GULFPORT, MS 39503-3502
(228) 357-5464
(877) 563-0603
Mailing address
14986 ANGELA DR, GULFPORT, MS 39503-3502
(228) 357-5464
(877) 563-0603
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
18988
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05482375
—
MS
Enumeration date
01/23/2013
Last updated
01/18/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up