ADVANCD PAIN AND REHAB MD LLC (NPI# 1003247008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003247008 |
| Entity Type | Organization |
| Organization Name | ADVANCD PAIN AND REHAB MD LLC |
| Practice Address |
1443 S Lake Park Ave Hobart IN 46342-6635 |
| Practice Telephone | 7735258744 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | WILLIAM CAWLEY (MANAGER) |
| Authorized Official Telephone | 7735258744 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1443 S LAKE PARK AVE |
| City | HOBART |
| State | IN |
| Zip Code | 46342-6635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497186332 | Advancd Chiropractic Care LLC | Chiropractor | 1443 S Lake Park Ave, Hobart, IN 46342-6635 | 2013-12-03 |
| 1164853131 | Advancd Pain Care Md LLC | Pain Medicine | 1443 S Lake Park Ave, Hobart, IN 46342-6635 | 2013-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734295 | Carleen Kaucky | Nurse Practitioner | 1445 South Lake Park Ave, Hobart, IN 46342 | 2013-08-09 |
| 1679827133 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 1330 W. Wisconsin St., Hobart, IN 46342 | 2012-11-06 |
| 1356600548 | Accurate Home Health Inc | Home Health | 8792 E. Ridge Road, Suite A, Hobart, IN 46342 | 2012-05-09 |
| 1164728051 | Lynn Rentz | Mechanotherapist | 103 E.third St., Suite 1, Hobart, IN 46342 | 2011-02-10 |
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| 1326289067 | Sheila Anne Flynn | Registered Nurse | 101 W. 61st Ave., Hobart, IN 46342 | 2009-03-10 |
| 1194941021 | Arc Bridges, Inc | Custodial Care Facility | 3583 Randolph Drive, Hobart, IN 46342 | 2007-04-18 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1295884682 | Marie Jean Mercado Hedges | Physical Therapist | 4530 16th St., Hobart, IN 46342 | 2007-01-09 |
| Find all providers in zip 46342 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683471 | New Wellspring LLC | Physical Medicine & Rehabilitation | 2400 Northpark Dr Ste 20, Columbus, IN 47203-4467 | 2018-09-20 |
| 1639454440 | Merrillville Pain Relief Center PC | Physical Medicine & Rehabilitation | One Tower Plaza, 111 E 89th Avenue, Ste 111, Merrillville, IN 46410-7184 | 2011-10-13 |
| 1639211808 | Joseph William Bergeron | Physical Medicine & Rehabilitation | 9292 N Meridian St Ste 111, Indianapolis, IN 46260-1828 | 2007-02-13 |
| 1861542565 | Ofelia Balagtas-balmaseda | Physical Medicine & Rehabilitation | 4812 S 7th St, Terre Haute, IN 47802-4502 | 2007-01-12 |
| 1548352727 | Choong Jin Yoon | Physical Medicine & Rehabilitation | 600 Saint Andrews Dr, Schererville, IN 46375-2970 | 2006-09-28 |
| 1669425419 | Heartland Physical Medicine & Rehabilitation PC | Physical Medicine & Rehabilitation | 1019 E Springhill Dr, Terre Haute, IN 47802 | 2006-05-19 |
| 1730130402 | Robert K Silbert | Physical Medicine & Rehabilitation | 6640 Parkdale Pl, Suite R, Indianapolis, IN 46254-5619 | 2006-05-15 |
| 1467423939 | Mark V Reecer | Physical Medicine & Rehabilitation | 5750 Coventry Ln, Suite 101, Fort Wayne, IN 46804-7166 | 2006-01-31 |
| 1295732055 | Steven A Rupert | Physical Medicine & Rehabilitation | 2330 Lynch Rd, Suite 100, Evansville, IN 47711-2998 | 2005-07-07 |
| 1144227596 | Irving I. Haber | Physical Medicine & Rehabilitation | 1818 N 3rd St, Terre Haute, IN 47804-4041 | 2005-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.