ADVANCED PAIN MANAGEMENT SC (NPI# 1720472558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720472558 |
| Entity Type | Organization |
| Organization Name | ADVANCED PAIN MANAGEMENT SC |
| Practice Address |
1000 Gateway Ct Suite 200 West Bend WI 53095-8541 |
| Mailing Address |
4131 W Loomis Rd Suite 300 Greenfield WI 53221-2057 |
| Practice Telephone | 4143257246 |
| Mailing Telephone | 4143257246 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |
| Authorized Official Name | VISHAL LAL (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 4143257246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144614272 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 4131 W Loomis Rd, Suite 240, Greenfield, WI 53221-2057 | 2015-03-26 |
| 1790179968 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 2124 Kohler Memorial Dr, Sheboygan, WI 53081-3169 | 2015-03-25 |
| 1295129021 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 813 W Moreland Blvd, Waukesha, WI 53188-2963 | 2015-03-18 |
| 1477947208 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 400 Westwood Dr, Wausau, WI 54401-7801 | 2015-03-18 |
| 1730573569 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 200 Division St, H100, Stevens Point, WI 54481-1843 | 2015-03-18 |
| 1477946416 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 250 26th St, Suite 130, Prairie Du Sac, WI 53578-2204 | 2015-03-16 |
| 1891188975 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 | 2015-03-12 |
| 1356734438 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 34 Schroeder Ct, Madison, WI 53711-2526 | 2015-03-12 |
| 1629461702 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 4448 W Loomis Rd, Suite 202, Greenfield, WI 53220-4800 | 2015-03-12 |
| 1437542511 | Advanced Pain Management Sc | Durable Medical Equipment & Medical Supplies | 4216 Old Green Bay Rd, Mount Pleasant, WI 53403-9486 | 2015-03-12 |
| Street Address |
1000 GATEWAY CT SUITE 200 |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-8541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154663904 | Pain Centers of Wisconsin - West Bend, LLC | Clinic/Center | 1000 Gateway Ct, West Bend, WI 53095-8541 | 2013-03-20 |
| 1407419328 | Pain Centers of Wisconsin - West Bend, LLC | Durable Medical Equipment & Medical Supplies | 1000 Gateway Ct, West Bend, WI 53095-8541 | 2019-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598085367 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1720 W Washington St, West Bend, WI 53095-2311 | 2010-06-03 |
| 1598789257 | Wheelchair Guy, LLC | Durable Medical Equipment & Medical Supplies | 3800 S River Rd, Unit A, West Bend, WI 53095-7845 | 2006-07-27 |
| 1821018375 | Apl Medical, Inc. | Durable Medical Equipment & Medical Supplies | 6340 State Road 144 S, West Bend, WI 53095-9118 | 2006-07-20 |
| 1629095799 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1515 W Paradise Dr, West Bend, WI 53095-9794 | 2006-07-16 |
| 1407419328 | Pain Centers of Wisconsin - West Bend, LLC | Durable Medical Equipment & Medical Supplies | 1000 Gateway Ct, West Bend, WI 53095-8541 | 2019-04-16 |
| 1396280160 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 2180 S Main St, West Bend, WI 53095-5754 | 2017-01-03 |
| 1093180184 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 333 E Washington St Ste 2100, West Bend, WI 53095-2503 | 2015-12-01 |
| 1407269335 | Aurora Advanced Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2014-06-09 |
| 1225476740 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2013-06-06 |
| 1053759571 | Froedtert & The Medical College of Wisconsin Community Physicians | Durable Medical Equipment & Medical Supplies | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2013-06-06 |
| Find all providers in WEST BEND | ||||
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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.