INTERVENTIONS IN PAIN MANAGEMENT LLC (NPI# 1174902605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174902605 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONS IN PAIN MANAGEMENT LLC |
| Practice Address |
1075 Golden Valley Dr Bettendorf IA 52722-1649 |
| Mailing Address |
4110 Blackhawk Rd Ste 2 Rock Island IL 61201-7039 |
| Practice Telephone | 3094287055 |
| Mailing Telephone | 3094287055 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2016-11-18 |
| Authorized Official Name | KERRY P PANOZZO (OWNER) |
| Authorized Official Telephone | 3097213288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
34922 | IA | Allopathic & Osteopathic Physicians |
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891247904 | Interventions In Pain Management LLC | Clinic/Center | 3509 Spring St Ste 3, Davenport, IA 52807-2124 | 2016-10-25 |
| 1982058624 | Interventions In Pain Management LLC | Clinic/Center | 4550 E 53rd St Ste 100, Davenport, IA 52807-3171 | 2016-04-19 |
| 1417370537 | Interventions In Pain Management LLC | Anesthesiology | 4110 Blackhawk Rd, Rock Island, IL 61201-7039 | 2014-01-24 |
| Street Address |
1075 GOLDEN VALLEY DR |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932199395 | Afzal H Abdullah | Surgery | 1075 Golden Valley Dr, Bettendorf, IA 52722-1649 | 2005-10-26 |
| 1730447764 | Vascular Surgery Associates | Surgery | 1075 Golden Valley Dr, Bettendorf, IA 52722-1649 | 2012-04-27 |
| 1407970858 | Vascular & Thoracic Assoc. Ltd. | Surgery | 1075 Golden Valley Dr, Bettendorf, IA 52722-1649 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891247904 | Interventions In Pain Management LLC | Clinic/Center | 3509 Spring St Ste 3, Davenport, IA 52807-2124 | 2016-10-25 |
| 1982058624 | Interventions In Pain Management LLC | Clinic/Center | 4550 E 53rd St Ste 100, Davenport, IA 52807-3171 | 2016-04-19 |
| 1558645200 | Michael Fleischman | Clinic/Center | 1938 Kelp Ave, Fairfield, IA 52556-9018 | 2011-09-29 |
| 1295055648 | Pain Be-gone Anesthesia Services Inc | Clinic/Center | 1001 12th St N, Humboldt, IA 50548 | 2010-06-08 |
| 1568028744 | Kerry Panozzo Md PC | Clinic/Center | 3170 E 53rd St, Davenport, IA 52807-3864 | 2019-05-14 |
| 1336642313 | Medical Analgesic Services Inc | Clinic/Center | 915 13th Ave N, Clinton, IA 52732-5067 | 2018-03-15 |
| 1578924320 | Boone County Hospital | Clinic/Center | 1015 Union St, Boone, IA 50036-4821 | 2016-03-08 |
| 1922475706 | Iowa Illinois Pain Consultants | Clinic/Center | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2015-08-27 |
| 1568803492 | Advanced Chiropractic, Inc. | Clinic/Center | 1618 S Duff Ave, Ames, IA 50010-8026 | 2013-07-08 |
| 1336314574 | Iowa Illinois Pain Consultants P.C. | Clinic/Center | 3385 Dexter Ct, Ste 300, Davenport, IA 52807-3494 | 2008-04-29 |
| Find all providers with the same taxonomy | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
Please comment or provide details below to improve the information on INTERVENTIONS IN PAIN MANAGEMENT LLC.
| 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.