=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245504604
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PREMIER PAIN CONSULTANTS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2012
-----------------------------------------------------
Last Update Date | 12/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 232 S WOODS MILL RD STE 400E
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63017-3406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-205-6744
-----------------------------------------------------
Fax | 314-590-5936
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 232 S WOODS MILL RD
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63017-3406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-685-7804
-----------------------------------------------------
Fax | 314-576-2344
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF MEDICAL OFFICER
-----------------------------------------------------
Name | DARREN R. HASKELL
-----------------------------------------------------
Credential | MD.
-----------------------------------------------------
Telephone | 314-205-6444
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208VP0000X
-----------------------------------------------------
Taxonomy Name | Pain Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------