Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Pain Management PA

Organization Pain Medicine (Anesthesiology) Physician · NPI 1639413347

Advanced Pain Management PA is a Pain Medicine (Anesthesiology) Physician in Independence, Missouri. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

C/o Centerpoint Medical Center 19550 E 39th St Ste 110
Independence, MO 64057-2353
Phone: (816) 698-8900
Fax: (816) 698-8905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1639413347
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shirley Dehardt — Practice Administrator · (913) 302-2703
NPI enumeratedNovember 19, 2012
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021
Mailing address3604 Saddle Ridge, Independence, MO 64057-2332

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