INDIANA NEUROLOGY AND PAIN CENTER LLC (NPI# 1659890218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659890218 |
| Entity Type | Organization |
| Organization Name | INDIANA NEUROLOGY AND PAIN CENTER LLC |
| Practice Address |
6920 Parkdale Pl Ste 215 Indianapolis IN 46254-5611 |
| Practice Telephone | (405) 408-6154 |
| Mailing Telephone | 3179396100 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-11-13 |
| Authorized Official Name | SAMIULLAH KUNDI (SOLE MEMBER) |
| Authorized Official Telephone | 3179396100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
01067436A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639738636 | Indiana Neurology and Pain Center LLC | Psychiatry & Neurology | 7430 N Shadeland Ave Ste 230, Indianapolis, IN 46250-2036 | 2019-06-12 |
| 1912426461 | Indiana Neurology and Pain Center LLC | Psychiatry & Neurology | 6920 Parkdale Place, Suite 215, Indianapolis, IN 46254 | 2017-09-15 |
| Street Address |
6920 PARKDALE PL STE 215 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245860436 | David Bryan Nolte | Nurse Practitioner | 6920 Parkdale Pl Ste 215, Indianapolis, IN 46254-5611 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| 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 |
|---|---|---|---|---|
| 1639738636 | Indiana Neurology and Pain Center LLC | Psychiatry & Neurology | 7430 N Shadeland Ave Ste 230, Indianapolis, IN 46250-2036 | 2019-06-12 |
| 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 | 46254 |
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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.