INTERVENTIONAL PAIN MANAGEMENT LLC (NPI# 1306274097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306274097 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN MANAGEMENT LLC |
| Practice Address |
208 Legacy Plz W La Porte IN 46350-5285 |
| Practice Telephone | 2193267246 |
| Practice Fax Number | 2193267234 |
| Mailing Telephone | 2193267246 |
| Mailing Fax Number | 2193267234 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2014-05-27 |
| Authorized Official Name | UJWALA S PURANIK (ADMINISTRATOR) |
| Authorized Official Telephone | 6303913994 |
| Is Organization Subpart | Y |
| Parent Organization Name | INTERVENTIONAL PAIN MANAGEMENT LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083051346 | Interventional Pain Management LLC | Clinic/Center | 2205 Roosevelt Rd, Valparaiso, IN 46383-2748 | 2013-05-28 |
| 1164833687 | Interventional Pain Management LLC | Clinic/Center | 201 Main St, Suite A, Hobart, IN 46342-4439 | 2014-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTERVENTIONAL PAIN MANAGEMENT LLC | 504 Legacy Plz W, La Porte, IN 46350-5254 |
| Street Address |
208 LEGACY PLZ W |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-5285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285870303 | Laporte Medical Group Surgical Center, LLC | Clinic/Center | 900 I St, Suite 1, La Porte, IN 46350-5533 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960536 | Lake George Surgery Center, LLC | Clinic/Center | 6245 N Old 27 Ste A10, Fremont, IN 46737-8707 | 2020-07-24 |
| 1689282741 | Uaa Indae LLC | Clinic/Center | 4715 Statesmen Dr Ste A, Indianapolis, IN 46250-1997 | 2020-07-15 |
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1538791272 | Parkview Health System, Inc. | Clinic/Center | 8004 Carnegie Blvd, Fort Wayne, IN 46804-5785 | 2020-02-11 |
| 1174165237 | River Ridge Surgical Suites, LLC | Clinic/Center | 2031 Jeffersonville Commons Dr, Jeffersonville, IN 47130-8996 | 2019-10-10 |
| 1134779622 | Helix Surgicenter LLC | Clinic/Center | 324 W Us Highway 30, Schererville, IN 46375-1856 | 2019-09-17 |
| 1295381572 | South Suburban Surgical Suites, LLC | Clinic/Center | 9200 Calumet Ave Ste E-100, Munster, IN 46321-2885 | 2019-08-13 |
| 1861059818 | Fishers Specialty Surgery Center, LLC | Clinic/Center | 14300 E 138th St, Fishers, IN 46037 | 2019-05-24 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1609376409 | Kokomo Ambulatory Surgery Center | Clinic/Center | 107 S Washington St Ste A, Kokomo, IN 46901-4601 | 2018-02-19 |
| 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.