Pain Management Medical Center, LLC
NPI 1073784823ActiveOrganization· Specialist· Florissant, MO
Specialist in Florissant, Missouri, registered in NPPES in March 2008. The authorized official on file is Gregory A. Stynowick, MD, Physician. Enrolled in Medicare as dme supplier - physician - general surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1073784823 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2008 |
| Last updated in NPPES | Jan 6, 2021 |
| Certified by provider | Jan 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 2004001665 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Surgery (MO); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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