INTERVENTIONAL PAIN CENTER, PLLC (NPI# 1285976407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285976407 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN CENTER, PLLC |
| Practice Address |
353 New Shackle Island Rd Suite 101-a Hendersonville TN 37075-2379 |
| Practice Telephone | 6159721100 |
| Practice Fax Number | 6155374950 |
| Mailing Telephone | 6159721100 |
| Mailing Fax Number | 6155374950 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-04-29 |
| Authorized Official Name | DR. BRAD PAUL WILSON (PRESIDENT) |
| Authorized Official Telephone | 6159721100 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
DO0000002339 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1531251 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1083154819 | Interventional Pain Center, Pllc | Physical Medicine & Rehabilitation | 3443 Dickerson Pike, Suite 730, Nashville, TN 37207-2519 | 2017-02-27 |
| 1609312529 | Interventional Pain Center, Pllc | Anesthesiology | 721 Tilghman Dr, Suite 300, Dunn, NC 28334-6063 | 2017-01-17 |
| 1912443821 | Interventional Pain Center, Pllc | Anesthesiology | 2080 W Arlington Blvd, Suite A, Greenville, NC 27834-3770 | 2017-01-17 |
| 1346786266 | Interventional Pain Center, Pllc | Anesthesiology | 251 Keisler Dr, Suite 101, Cary, NC 27518-7091 | 2017-01-17 |
| 1255877171 | Interventional Pain Center, Pllc | Anesthesiology | 123 Sunnybrook Rd, Suite 130, Raleigh, NC 27610-2783 | 2017-01-17 |
| 1790221612 | Interventional Pain Center, Pllc | Anesthesiology | 451 Ruin Creek Rd, Suite 103, Henderson, NC 27536-2878 | 2017-01-17 |
| 1790220408 | Interventional Pain Center, Pllc | Anesthesiology | 4320 Fayetteville Rd, Suite A, Lumberton, NC 28358-2706 | 2017-01-04 |
| Street Address |
353 NEW SHACKLE ISLAND RD SUITE 101-A |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536468 | Muhammad Asad | Internal Medicine | 353 New Shackle Island Rd, Suite 300 C, Hendersonville, TN 37075-2379 | 2005-05-23 |
| 1104442037 | Dustin Cross | Nurse Practitioner | 353 New Shackle Island Rd, Hendersonville, TN 37075-2379 | 2020-06-16 |
| 1225563307 | Clayton Thomas Anderson | Nurse Practitioner | 353 New Shackle Island Rd, Suite #300c, Hendersonville, TN 37075-2379 | 2017-04-26 |
| 1578003109 | Laura Rhea Smith | Physical Therapist | 353 New Shackle Island Rd, 142c, Hendersonville, TN 37075-2379 | 2017-03-01 |
| 1609319136 | Kara Earthman | Nurse Practitioner | 353 New Shackle Island Rd, Suite 221b, Hendersonville, TN 37075-2379 | 2016-12-01 |
| 1194272930 | Emily C Fitzpatrick | Nurse Practitioner | 353 New Shackle Island Rd, Suite 122b, Hendersonville, TN 37075-2379 | 2016-09-09 |
| 1982158176 | Lake Spine Consultants LLC | Orthopaedic Surgery | 353 New Shackle Island Rd, Suite 141c, Hendersonville, TN 37075-2379 | 2016-08-05 |
| 1336692904 | Enjoli Gupton | Nurse Practitioner | 353 New Shackle Island Rd, 300c, Hendersonville, TN 37075-2379 | 2016-07-29 |
| 1821442963 | Kaci Goodgame | Nutritionist | 353 New Shackle Island Rd, Suite 122 B, Hendersonville, TN 37075-2379 | 2016-04-14 |
| 1659730117 | Kelly Victoria Tyus | Audiologist | 353 New Shackle Island Rd, Suite 202-a, Hendersonville, TN 37075-2379 | 2016-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| 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 |
|---|---|---|---|---|
| 1205002227 | Brad P Wilson | Physical Medicine & Rehabilitation | 353 New Shackle Island Rd, Ste 101-a, Hendersonville, TN 37075-2379 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720616915 | Isaac Spine, Joint & Pain Institute | Physical Medicine & Rehabilitation | 2004 Hayes St Ste 655, Nashville, TN 37203-2646 | 2020-04-01 |
| 1558880286 | Healthcare Resources Management LLC | Physical Medicine & Rehabilitation | 74 Lebanon Hwy, Carthage, TN 37030-2954 | 2017-09-13 |
| 1245606110 | Lauren Frommert | Physical Medicine & Rehabilitation | 419 Steam Plant Rd, Gallatin, TN 37066-3027 | 2015-08-14 |
| 1073855573 | Southern Pain Institute Pllc | Physical Medicine & Rehabilitation | 1608 Williams Dr Ste 300, Murfreesboro, TN 37129-3195 | 2013-03-22 |
| 1033386941 | Southern Pain Institute Pllc | Physical Medicine & Rehabilitation | 393 Wallace Rd Ste A204, Nashville, TN 37211-4983 | 2008-05-09 |
| 1225214307 | Elmer G. Pinzon | Physical Medicine & Rehabilitation | 110 Center Park Dr, Ste 102 & 103, Knoxville, TN 37922-2114 | 2008-01-18 |
| 1104837327 | Thomas Scott Baker | Physical Medicine & Rehabilitation | 1423 W Baddour Pkwy, Lebanon, TN 37087-3061 | 2006-08-11 |
| 1174504294 | Sheng Tchou | Physical Medicine & Rehabilitation | 411 Princeton Rd, Suite 101, Johnson City, TN 37601-2049 | 2005-11-07 |
| 1720541402 | Tennessee Integrative Pain Institute Plc | Physical Medicine & Rehabilitation | 5073 Main St Ste 200, Spring Hill, TN 37174-2738 | 2019-04-10 |
| 1083154819 | Interventional Pain Center, Pllc | Physical Medicine & Rehabilitation | 3443 Dickerson Pike, Suite 730, Nashville, TN 37207-2519 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.