Professional Physicians Pain Services, LLC
Professional Physicians Pain Services, LLC is a healthcare organization registered as Pain Medicine (Anesthesiology) Physician in Saint Peters, MO, holding Type 2 (organization) NPI 1295062016 since 2009. The authorized official on file is Michael Boedefeld, Partner of the LLC.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295062016 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Professional Physicians Pain Services, LLC |
| Other name | <Unavail> |
| Practice address | 114 PIPER HILL DR, SUITE 103, Saint Peters, MO, 63376 |
| Phone | 6364425035 |
| Fax | 6364425036 |
| Enumeration date | 2009-11-16 |
| Last updated in NPPES | 2009-11-16 |
Authorized official
| Name | Michael Boedefeld |
|---|---|
| Title | Partner of the LLC |
| Phone | 6364425035 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | Primary | — | MO |
Copy-ready billing details
Provider: Professional Physicians Pain Services, LLC NPI: 1295062016 Taxonomy: 207LP2900X (Pain Medicine (Anesthesiology) Physician) Address: 114 PIPER HILL DR, SUITE 103, Saint Peters, MO, 63376
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831160480 | St Peters Ambulatory Surgery Center, LLC | Organization | Ambulatory Surgical Clinic/Center | Saint Peters, MO |
| 1780764829 | Novamed Surgery Center of St Peters LLC | Organization | Ambulatory Surgical Clinic/Center | Saint Peters, MO |
| 1871729723 | Professional Physician Pain Services, LLC | Organization | Pain Medicine (Anesthesiology) Physician | Saint Peters, MO |
| 1164868105 | Carissa Morton | Individual | Family Nurse Practitioner | Saint Peters, MO |
Verify this record
Cross-check NPI 1295062016 against the authoritative CMS record: view Professional Physicians Pain Services, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Professional Physicians Pain Services, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-11-16.