INDIANA NEUROLOGY AND PAIN CENTER LLC (NPI# 1639738636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639738636 |
| Entity Type | Organization |
| Organization Name | INDIANA NEUROLOGY AND PAIN CENTER LLC |
| Practice Address |
7430 N Shadeland Ave Ste 230 Indianapolis IN 46250-2036 |
| Mailing Address |
6920 Parkdale Pl Ste 215 Indianapolis IN 46254-5611 |
| Practice Telephone | 3179396100 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | SAMIULLAH KUNDI (OWNER) |
| Authorized Official Telephone | 3179396100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659890218 | Indiana Neurology and Pain Center LLC | Psychiatry & Neurology | 6920 Parkdale Pl Ste 215, Indianapolis, IN 46254-5611 | 2017-09-14 |
| 1912426461 | Indiana Neurology and Pain Center LLC | Psychiatry & Neurology | 6920 Parkdale Place, Suite 215, Indianapolis, IN 46254 | 2017-09-15 |
| Street Address |
7430 N SHADELAND AVE STE 230 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist 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 added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659890218 | Indiana Neurology and Pain Center LLC | Psychiatry & Neurology | 6920 Parkdale Pl Ste 215, Indianapolis, IN 46254-5611 | 2017-09-14 |
| 1912426461 | Indiana Neurology and Pain Center LLC | Psychiatry & Neurology | 6920 Parkdale Place, Suite 215, Indianapolis, IN 46254 | 2017-09-15 |
| 1376668780 | American Health Network of Indiana, LLC | Psychiatry & Neurology | 6820 Parkdale Pl, Suite 105, Indianapolis, IN 46254-6601 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588922207 | Compass Supportive Palliative Care LLC | Psychiatry & Neurology | 801 Huntington Ave, Warren, IN 46792-9402 | 2012-05-01 |
| 1255580593 | Daniel Choyce Callahan | Psychiatry & Neurology | 2204 N Section St, Sullivan, IN 47882 | 2008-09-11 |
| 1497825004 | Roger D. Lemmen | Psychiatry & Neurology | 360 N Main St, Suite E, Bluffton, IN 46714-2041 | 2006-11-09 |
| 1164482931 | Steven J Scheiner | Psychiatry & Neurology | 606 Wilson Creek Rd, Suite 120, Lawrenceburg, IN 47025-1095 | 2006-03-25 |
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on INDIANA NEUROLOGY AND PAIN CENTER 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.