MEDICARE: PAIN AT FHO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist
2	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1225673874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN AT FHO LLC

Provider Business Mailing Address
First Line	:	822 N ANDOVER RD
Second Line	:
City	:	ANDOVER
State	:	KS
Zip	:	67002-9527
Country	:	US
Telephone Number	:	316-247-5499
Fax Number	:	316-351-5965

Provider Business Practice Location Address
First Line	:	700 W CENTRAL AVE STE 206
Second Line	:
City	:	EL DORADO
State	:	KS
Zip	:	67042-2186
Country	:	US
Telephone Number	:	316-452-5113
Fax Number	:	316-452-5171

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	CINDY CLOUGH
Credential	:
Telephone Number	:	316-247-5499

Provider Enumeration Date	:	11/07/2019
Last Update Date	:	11/11/2025

Similar Medicare Providers

1003618562 — JAZMINE DAWDY MSN, APRN, FNP-C
Practice Location Address:

700 W CENTRAL AVE STE 205
EL DORADO, KS
67042-2186

Practice Phone: 316-321-2010
Practice Fax:

1073956355 — LABORATORY CORPORATION OF AMERICA HOLDINGS
Practice Location Address:

700 W CENTRAL AVE STE 201
EL DORADO, KS
67042-2186

Practice Phone: 316-621-4326
Practice Fax:

1427509751 — MEDICINE AND NEPHROLOGY CLINIC LLC
Practice Location Address:

700 W CENTRAL AVE STE 206
EL DORADO, KS
67042-2186

Practice Phone: 316-452-5455
Practice Fax: 316-321-0503

1750949368 — SAMUEL BRUCE AITCHISON PHYSICIAN ASSISTANT
Practice Location Address:

700 W CENTRAL AVE STE 206
EL DORADO, KS
67042-2186

Practice Phone: 316-452-5113
Practice Fax: 316-452-5694

1962173104 — KAYLA NICOLE MCCOY APRN
Practice Location Address:

700 W CENTRAL AVE STE 206
EL DORADO, KS
67042-2186

Practice Phone: 316-452-1568
Practice Fax:

1558059527 — GAYLYNEE GREEN PTA
Practice Location Address:

700 W CENTRAL AVE STE 206
EL DORADO, KS
67042-2186

Practice Phone: 316-452-5113
Practice Fax: 316-452-5171

Directions to “PAIN AT FHO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.