INTERVENTIONAL PAIN CONSULTANTS, LLC (NPI# 1164661054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164661054 |
Entity Type | Organization |
Organization Name | INTERVENTIONAL PAIN CONSULTANTS, LLC |
Practice Address |
608 Union Chapel Rd Fort Wayne IN 46845-9357 |
Practice Telephone | 2603870450 |
Practice Fax Number | 2603870440 |
Mailing Telephone | 2603870450 |
Mailing Fax Number | 2603870440 |
Enumeration Date | 2009-02-17 |
Last Update Date | 2014-09-16 |
Authorized Official Name | DANIEL NOLAN (MEMBER/OWNER) |
Authorized Official Telephone | 2605791601 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200931200 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629209077 | Interventional Pain Consultants, LLC | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2009-08-03 |
1356587885 | Interventional Pain Consultants, LLC | Pain Medicine | 820 Town Center Dr, Langhorne, PA 19047-1785 | 2009-01-06 |
Street Address |
608 UNION CHAPEL RD |
City | FORT WAYNE |
State | IN |
Zip Code | 46845-9357 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912084369 | Daniel Howard Nolan | Anesthesiology | 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 | 2006-11-01 |
1588114599 | Andrea Woodgeard | Nurse Practitioner | 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 | 2016-10-13 |
1770975187 | Meghan Jo Cook | Nurse Practitioner | 608 Union Chapel Rd, Fort Wayne, IN 46845-9357 | 2015-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
Find all providers in zip 46845 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508839689 | Stephen James Hatch | Pain Medicine | 10228 Dupont Circle Dr E, Fort Wayne, IN 46825-1611 | 2006-02-09 |
1649628553 | Kenny Joe Wallen | Pain Medicine | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2016-06-01 |
1295905529 | Spine Technology and Rehabilitation PC | Pain Medicine | 3898 New Vision Dr, Suite B, Fort Wayne, IN 46845-1718 | 2008-03-03 |
1891768537 | George David Bojrab | Pain Medicine | 10228 Dupont Circle Dr E, Fort Wayne, IN 46825-1611 | 2006-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578176087 | Pg Pro LLC | Pain Medicine | 4715 Statesmen Dr Ste Ab, Indianapolis, IN 46250-5642 | 2020-08-25 |
1942818109 | Advanced Pain Treatment of Chicago Sc | Pain Medicine | 1950 45th St Ste 101, Munster, IN 46321-3958 | 2020-07-14 |
1871050781 | Pain Management Solution LLC | Pain Medicine | 4010 W Goeller Blvd Ste C, Columbus, IN 47201-8312 | 2019-02-27 |
1841764495 | Pain Management Centers of America, Psc | Pain Medicine | 1717 S State Road 57 Ste F, Washington, IN 47501-4179 | 2019-01-16 |
1982185641 | Midwest Pain Institute Center for Minimally Invasive Spine PC | Pain Medicine | 7301 N Shadeland Ave Ste 1a, Indianapolis, IN 46250-2085 | 2018-08-22 |
1679088405 | Advanced Pain Care Clinic Psc | Pain Medicine | 5320 Weston Rd, Evansville, IN 47712-3701 | 2017-12-01 |
1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
1366987513 | Gary Gettelfinger Md Dabpm LLC | Pain Medicine | 1619 N Prairie Green Ct, Bloomington, IN 47408-8701 | 2016-12-27 |
1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
1801938642 | Michael G. Cassaro, Md, Psc | Pain Medicine | 200 Missouri Ave, Suite B, Jeffersonville, IN 47130-3061 | 2007-02-12 |
Find all providers with the same taxonomy |
City | FORT WAYNE |
Zip Code | 46845 |
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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.