MEDICARE: PAIN CARE INNOVATION 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	13914	NV

General Provider Information

NPI Number	:	1922526755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN CARE INNOVATION LLC

Provider Business Mailing Address
First Line	:	1541 WINDHAVEN CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1532
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 KAREN AVE UNIT 3305
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-5308
Country	:	US
Telephone Number	:	510-593-6195
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM BAUMGARTL
Credential	:	MD
Telephone Number	:	510-593-6195

Provider Enumeration Date	:	08/31/2017
Last Update Date	:	09/05/2017

Similar Medicare Providers

1679804843 — MEDLAB LLC
Practice Location Address:

2860 S JONES BLVD , 2
LAS VEGAS, NV
89146-5308

Practice Phone: 702-834-7600
Practice Fax: 702-834-7602

1265886089 — MATTHEW SOSA
Practice Location Address:

6441 PEARCREST RD
LAS VEGAS, NV
89108-5308

Practice Phone: 702-465-2819
Practice Fax:

1356851125 — ZACHARY M BURROWS BCBA 1-25-81071
Practice Location Address:

6441 PEARCREST RD
LAS VEGAS, NV
89108-5308

Practice Phone: 702-670-0440
Practice Fax:

1316514318 — LIFEABA LLC
Practice Location Address:

6441 PEARCREST RD
LAS VEGAS, NV
89108-5308

Practice Phone: 702-465-2819
Practice Fax:

1083304497 — MARK J. LANZ
Practice Location Address:

3251 KEY LARGO DR APT 102
LAS VEGAS, NV
89120-5308

Practice Phone: 702-731-1838
Practice Fax:

1043026594 — TINA MARIA LUCAS RD
Practice Location Address:

5308 RED GLORY DR
LAS VEGAS, NV
89130-5318

Practice Phone: 813-679-8846
Practice Fax:

Directions to “PAIN CARE INNOVATION 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 © 2007-2025 (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.