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

Ic Pain, LLC

Organization Anesthesiology Physician · NPI 1477024743

Ic Pain, LLC is an Anesthesiology Physician in Poplar Bluff, Maryland. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

NW Medical Center 2210 Barron Rd Ste 203
Poplar Bluff, MD 63901
Phone: (573) 776-0157
Fax: (573) 776-6504
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1477024743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kip Newell — Owner/Do · (402) 547-9405
NPI enumeratedDecember 16, 2018
Last updated in NPPESDecember 16, 2018
Mailing addressNorthwest Medical Center, 2210 Barron Rd, Suite 203, Poplar Bluff, MD 63901