OHIO VALLEY PAIN INTERVENTION LLC (NPI# 1578821740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578821740 |
Entity Type | Organization |
Organization Name | OHIO VALLEY PAIN INTERVENTION LLC |
Other Organization Name | GENESIS HEALTH AND WELLNESS |
Practice Address |
8211 W State Route 66 Newburgh Newburgh IN 47630-2534 |
Practice Telephone | 8128581008 |
Practice Fax Number | 8128581001 |
Mailing Telephone | 8128581008 |
Mailing Fax Number | 8128581001 |
Enumeration Date | 2012-04-25 |
Last Update Date | 2015-07-07 |
Authorized Official Name | SHAUN TYMCHAK (OWNER) |
Authorized Official Telephone | 8128581008 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 225100000X | Physical Therapist | 05008961A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 208100000X | Physical Medicine & Rehabilitation | IN | Allopathic & Osteopathic Physicians | |
N | 363L00000X | Nurse Practitioner | 71005174A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | MEDICARE PTAN | IN1312 | 01 |
Other Name | Type Code |
---|---|
Genesis Health and Wellness | Doing Business As Name - Organization |
Street Address |
8211 W STATE ROUTE 66 NEWBURGH |
City | NEWBURGH |
State | IN |
Zip Code | 47630-2534 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346243870 | Shaun P Tymchak | Chiropractor | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2005-05-30 |
1093132821 | Newburgh Urgent Care LLC | Clinic/Center | 8211 W State Route 66, Suite A, Newburgh, IN 47630-2534 | 2014-03-18 |
1730496563 | Julie A Crowe | Nurse Practitioner | 8211 W State Route 66, Suite A, Newburgh, IN 47630-2534 | 2010-08-31 |
1336470616 | Genesis Health and Wellness LLC | General Practice | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2010-01-26 |
1700046877 | Bobbi J Preston | Physical Therapist | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2008-06-12 |
1447461132 | Newburgh Chiropractic Psc | Chiropractor | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2007-05-24 |
1194855478 | Harriett Deene Mefford | Nurse Practitioner | 8211 W State Route 66, Suite A, Newburgh, IN 47630-2534 | 2007-03-06 |
1215016324 | Jack L Foltz | Obstetrics & Gynecology | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2006-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
Find all providers in zip 47630 |
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 |
---|---|---|---|---|
1376938704 | Sridhar Bhaskara Md LLC | Pain Medicine | 4099 Gateway Blvd, Newburgh, IN 47630-8947 | 2015-04-02 |
1295914489 | Joseph F Waling Md PC | Pain Medicine | 4099 Gateway Blvd, Newburgh, IN 47630-8947 | 2007-10-24 |
1114902160 | Joseph Frank Waling | Pain Medicine | 4099 Gateway Blvd, Newburgh, IN 47630-8954 | 2005-12-13 |
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 |
Please comment or provide details below to improve the information on OHIO VALLEY PAIN INTERVENTION 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.