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  5. Pain Management Services, P.C.

Pain Management Services, P.C.

Details

Name: Pain Management Services, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 19 Jun 1997 (28 years ago)
Entity Number: 000-188-798
Register Number: 000188798
ZIP code: 35205
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1201 11TH AVE SOUTH STE 410BIRMINGHAM, AL 35205
Authorized Capital: $10,000

Activities PRACTICE OF MEDICINE AND SPECIALIZE IN PAIN MANAGEMENT SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477680924 2007-02-28 2023-01-13 2270 VALLEYDALE RD STE 200, HOOVER, AL, 352442101, US 2270 VALLEYDALE RD STE 200, HOOVER, AL, 352442101, US

Contacts
Phone +1 205-682-6056
Fax 2056826057
Phone +1 205-862-6056

Authorized person
Name ROBERT LANSDEN
Role PRESIDENT
Phone 2056826056

Taxonomy
Taxonomy Code 208VP0000X - Pain Medicine Physician
License Number 13479
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 009912625
State AL
Issuer MEDICAID
Number 229608
State AL
Issuer MEDICAID
Number 529703240
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN MANAGEMENT SERVICES, P.C. CASH BALANCE PLAN 2015 721378440 2016-10-13 PAIN MANAGEMENT SERVICES, P.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2059307974
Plan sponsor’s address 513 BROOKWOOD BLVD., SUITE 101, BIRMINGHAM, AL, 352096878
PAIN MANAGEMENT SERVICES, P.C. CASH BALANCE PLAN 2014 721378440 2015-06-29 PAIN MANAGEMENT SERVICES, P.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2059307974
Plan sponsor’s address 513 BROOKWOOD BLVD., SUITE 101, BIRMINGHAM, AL, 352096878

Signature of
Role Plan administrator
Date 2015-06-29
Name of individual signing THOMAS KRAUS
PAIN MANAGEMENT SERVICES, P.C. CASH BALANCE PLAN 2013 721378440 2014-08-18 PAIN MANAGEMENT SERVICES, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2059307974
Plan sponsor’s address 513 BROOKWOOD BLVD., SUITE 101, BIRMINGHAM, AL, 352096878

Signature of
Role Plan administrator
Date 2014-08-18
Name of individual signing THOMAS KRAUS
PAIN MANAGEMENT SERVICES, P.C. CASH BALANCE PLAN 2012 721378440 2013-03-28 PAIN MANAGEMENT SERVICES, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2059307974
Plan sponsor’s address 513 BROOKWOOD BLVD., SUITE 101, BIRMINGHAM, AL, 352096878

Plan administrator’s name and address
Administrator’s EIN 721378440
Plan administrator’s name PAIN MANAGEMENT SERVICES, P.C.
Plan administrator’s address 513 BROOKWOOD BLVD., SUITE 101, BIRMINGHAM, AL, 352096878
Administrator’s telephone number 2059307974

Signature of
Role Plan administrator
Date 2013-03-28
Name of individual signing THOMAS KRAUS
PAIN MANAGEMENT SERVICES, P.C. CASH BALANCE PLAN 2011 721378440 2012-02-21 PAIN MANAGEMENT SERVICES, P.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2059307974
Plan sponsor’s address 513 BROOKWOOD BLVD., SUITE 101, BIRMINGHAM, AL, 352096878

Plan administrator’s name and address
Administrator’s EIN 721378440
Plan administrator’s name PAIN MANAGEMENT SERVICES, P.C.
Plan administrator’s address 513 BROOKWOOD BLVD., SUITE 101, BIRMINGHAM, AL, 352096878
Administrator’s telephone number 2059307974

Signature of
Role Plan administrator
Date 2012-02-21
Name of individual signing THOMAS KRAUS
PAIN MANAGEMENT SERVICES, P.C. CASH BALANCE PLAN 2010 721378440 2011-04-21 PAIN MANAGEMENT SERVICES, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2059307974
Plan sponsor’s address 513 BROOKWOOD BLVD., SUITE 101, BIRMINGHAM, AL, 352096878

Plan administrator’s name and address
Administrator’s EIN 721378440
Plan administrator’s name PAIN MANAGEMENT SERVICES, P.C.
Plan administrator’s address 513 BROOKWOOD BLVD., SUITE 101, BIRMINGHAM, AL, 352096878
Administrator’s telephone number 2059307974

Signature of
Role Plan administrator
Date 2011-04-21
Name of individual signing THOMAS KRAUS
PAIN MANAGEMENT SERVICES, P.C. CASH BALANCE PLAN 2009 721378440 2010-10-13 PAIN MANAGEMENT SERVICES, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2059307974
Plan sponsor’s address 513 BROOKWOOD BLVD., SUITE 101, BIRMINGHAM, AL, 352096878

Plan administrator’s name and address
Administrator’s EIN 721378440
Plan administrator’s name PAIN MANAGEMENT SERVICES, P.C.
Plan administrator’s address 513 BROOKWOOD BLVD., SUITE 101, BIRMINGHAM, AL, 352096878
Administrator’s telephone number 2059307974

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing THOMAS KRAUS

Agent

Name Role
LANSDEN, ROBERT L Agent

Incorporator

Name Role
LANSDEN, ROBERT L Incorporator

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6717227300 2020-04-30 0459 PPP 1021 MONTGOMERY HIGHWAY, STE 204, VESTAVIA HILLS, AL, 35216-2805
Loan Status Date 2020-12-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 154884.17
Loan Approval Amount (current) 154884.17
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121641
Servicing Lender Name Pinnacle Bank
Servicing Lender Address 1811 2nd Ave, JASPER, AL, 35501-5381
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address VESTAVIA HILLS, JEFFERSON, AL, 35216-2805
Project Congressional District AL-06
Number of Employees 19
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 121641
Originating Lender Name Pinnacle Bank
Originating Lender Address JASPER, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 155667.2
Forgiveness Paid Date 2020-11-03

Related by officers

LANSDEN, ROBERT L

Anesthesiology & Pain Medicine, P.C.

Related by address

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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