MEDICARE: PAIN CONSULTANTS OF WEST TENNESSEE

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD14614	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3039369	OTHER	TN	BCBS PROVIDER NUMBER
2	1840642	OTHER		CIGNA PROVIDER NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447446570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN CONSULTANTS OF WEST TENNESSEE

Provider Business Mailing Address
First Line	:	160 W UNIVERSITY PKWY STE C
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-1667
Country	:	US
Telephone Number	:	731-660-5116
Fax Number	:	731-660-5119

Provider Business Practice Location Address
First Line	:	160 W UNIVERSITY PKWY STE C
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-1667
Country	:	US
Telephone Number	:	731-660-5116
Fax Number	:	731-660-5119

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FRANK EDWIN JORDAN
Credential	:	M.D.
Telephone Number	:	731-660-5116

Provider Enumeration Date	:	09/21/2007
Last Update Date	:	12/03/2007

Similar Medicare Providers

1841286853 — DR. FRANK EDWIN JORDAN M.D.
Practice Location Address:

160C W UNIVERSITY PKWY
JACKSON, TN
38305-1667

Practice Phone: 731-660-5116
Practice Fax: 731-554-0306

1831430560 — BRANDI R HENRY FNP
Practice Location Address:

160 W UNIVERSITY PKWY STE C
JACKSON, TN
38305-1667

Practice Phone: 731-660-5116
Practice Fax: 731-660-5119

1639621105 — ANESTHESIA SERVICES ASSOCIATES, PLLC
Practice Location Address:

160 W UNIVERSITY PKWY STE C
JACKSON, TN
38305-1667

Practice Phone: 731-660-5116
Practice Fax:

1669101309 — MRS. LESLIE SMITH BAUM APRN, FNP-C
Practice Location Address:

160 W UNIVERSITY PKWY STE C
JACKSON, TN
38305-1667

Practice Phone: 731-300-6155
Practice Fax:

1679200588 — ANDREA JANINE OLIVER
Practice Location Address:

3346 90TH ST
JACKSON HEIGHTS, NY
11372-1667

Practice Phone: 347-319-5036
Practice Fax:

1245075803 — KRISTEN SCHELL PHOTOGRAPHY LLC
Practice Location Address:

810 S WEST AVE
JACKSON, MI
49203-1667

Practice Phone: 724-884-5310
Practice Fax:

Directions to “PAIN CONSULTANTS OF WEST TENNESSEE ” 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.