Healthcare Provider Details

I. General information

NPI: 1023936689
Provider Name (Legal Business Name): TITAN INTERVENTIONAL PAIN MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 QUINTARD AVE
ANNISTON AL
36201-4619
US

IV. Provider business mailing address

1309 QUINTARD AVE
ANNISTON AL
36201-4619
US

V. Phone/Fax

Practice location:
  • Phone: 256-237-7002
  • Fax:
Mailing address:
  • Phone: 256-237-7002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN KASPER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 413-221-0629