INDIANA PAIN AND SPINE CARE (NPI# 1568444586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568444586 |
| Entity Type | Organization |
| Organization Name | INDIANA PAIN AND SPINE CARE |
| Practice Address |
1100 Southfield Dr Suite 1330 Plainfield IN 46168-4498 |
| Practice Telephone | 3178371999 |
| Practice Fax Number | 3178370233 |
| Mailing Telephone | 3178371999 |
| Mailing Fax Number | 3178370233 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2009-10-08 |
| Authorized Official Name | DR. VAN EVANOFF JR. (OWNER) |
| Authorized Official Telephone | 3178371999 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200496300A | 05 |
| Street Address |
1100 SOUTHFIELD DR SUITE 1330 |
| City | PLAINFIELD |
| State | IN |
| Zip Code | 46168-4498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748778 | Scott Thomas Guenthner | Dermatology | 1100 Southfield Dr, Ste 1240, Plainfield, IN 46168-4499 | 2005-05-31 |
| 1407375579 | Samantha Sparks | Physical Therapy Assistant | 1100 Southfield Dr, Plainfield, IN 46168-4498 | 2017-09-11 |
| 1649621780 | Audrey Hewitt | Physician Assistant | 1100 Southfield Dr, Suite 1240, Plainfield, IN 46168-4498 | 2016-06-30 |
| 1538520408 | Abigail Wantz | Nurse Practitioner | 1100 Southfield Dr, Ste 1220, Plainfield, IN 46168-4499 | 2016-03-18 |
| 1346624061 | Glasshouse Optical, Inc | Technician/Technologist | 1100 Southfield Dr, Suite 1320, Plainfield, IN 46168-4498 | 2015-07-13 |
| 1679849780 | Shayna Lee Gordon | Dermatology | 1100 Southfield Dr, Suite 1240, Plainfield, IN 46168-4498 | 2012-03-23 |
| 1467782391 | Lisa Kay Summerlot | Physical Therapist | 1100 Southfield Dr, Plainfield, IN 46168-4498 | 2009-12-24 |
| 1700113792 | Hendricks Regional Health Occupational Medicine | Clinic/Center | 1100 Southfield Dr, Suite 1120, Plainfield, IN 46168-4498 | 2009-11-11 |
| 1508033408 | Anna Gramling | Internal Medicine | 1100 Southfield Dr, Suite 1330, Plainfield, IN 46168-4498 | 2008-05-11 |
| 1356519003 | Cynthia A. Myers | Physical Therapist | 1100 Southfield Dr, Suite 1100, Plainfield, IN 46168-4498 | 2008-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614825 | Indiana Behavioral Innovations LLC | Psychiatric Hospital | 1051 Southfield Dr, Plainfield, IN 46168 | 2020-09-17 |
| 1295243731 | Quad/med, LLC | Clinic/Center | 9998 Allpoints Parkway, Plainfield, IN 46168 | 2018-01-18 |
| 1255702478 | Dental Professionals of Indiana, PC | Dentist | 2455 E. Main St., Suite 104, Plainfield, IN 46168 | 2015-10-14 |
| 1760861991 | Audrey Falkenstein | Behavioral Analyst | 1599 Township Line Road, Plainfield, IN 46168 | 2015-05-20 |
| 1356751754 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 400 Dan Jones Rd, Plainfield, IN 46168 | 2014-05-07 |
| 1841612835 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 5865 Sugar Lane, Plainfield, IN 46168 | 2014-01-10 |
| 1063850576 | Philip A. Blaney | Family Medicine | 315 N Dan Jones Rd Ste 120, Plainfield, IN 46168 | 2013-06-06 |
| 1659622512 | Integrity Behavioral Solutions, LLC | Behavioral Analyst | 1599 Township Line Rd., Plainfield, IN 46168 | 2012-10-01 |
| 1720348428 | Robert J. Krause, D.c., P.C. | Chiropractor | 1729 E. Main Street, Plainfield, IN 46168 | 2012-05-29 |
| 1205075561 | Amanda Nicole Harty | Speech-Language Pathologist | 611 White Lick Lane, Plainfield, IN 46168 | 2009-02-10 |
| Find all providers in zip 46168 | ||||
| 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 |
|---|---|---|---|---|
| 1346807724 | Complete Pain Management LLC | Physical Medicine & Rehabilitation | 16310 S Lincoln Hwy Ste 132, Plainfield, IL 60586-9100 | 2019-05-21 |
| 1285773051 | Rezin Orthopedic and Sports Medicine | Physical Medicine & Rehabilitation | 15728 S Route 59, Within Village Medical Center, Plainfield, IL 60544-2693 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683471 | New Wellspring LLC | Physical Medicine & Rehabilitation | 2400 Northpark Dr Ste 20, Columbus, IN 47203-4467 | 2018-09-20 |
| 1003247008 | Advancd Pain and Rehab Md LLC | Physical Medicine & Rehabilitation | 1443 S Lake Park Ave, Hobart, IN 46342-6635 | 2013-12-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PLAINFIELD |
| Zip Code | 46168 |
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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.