MIDWEST PAIN MANAGEMENT CENTERS,LLC (NPI# 1962401745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962401745 |
| Entity Type | Organization |
| Organization Name | MIDWEST PAIN MANAGEMENT CENTERS,LLC |
| Other Organization Name | MIDWEST INTERVENTIONAL SPINE SPECIALISTS,LLC |
| Practice Address |
8840 Calumet Ave Suite 103 Munster IN 46321-2529 |
| Practice Telephone | 2198367246 |
| Practice Fax Number | 2198366454 |
| Mailing Telephone | 2198367246 |
| Mailing Fax Number | 2198366454 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2011-03-24 |
| Authorized Official Name | SHANU KONDAMURI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2198367246 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | CE8846 | 01 |
| IL | BCBS OF ILLINOIS | 90001076 | 01 |
| IN | 200095110A | 05 |
| Other Name | Type Code |
|---|---|
| Midwest Interventional Spine Specialists,LLC | Doing Business As Name - Organization |
| Street Address |
8840 CALUMET AVE SUITE 103 |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346783396 | Katie Carlson | Physician Assistant | 8840 Calumet Ave, Suite 103, Munster, IN 46321-2545 | 2016-11-23 |
| 1437507704 | Hand & Hand LLC | Hearing Aid Equipment | 8840 Calumet Ave, Munster, IN 46321-2545 | 2016-05-27 |
| 1073987053 | Serenity Surgical, LLC | Clinic/Center | 8840 Calumet Ave, Suite 104, Munster, IN 46321-2545 | 2015-11-13 |
| 1588053292 | Family Ent & Sinus Center, P.C. | Otolaryngology | 8840 Calumet Ave, Suite Number 103, Munster, IN 46321-2545 | 2015-01-19 |
| 1851794317 | Munster Open Mri & Imaging Inc | Clinic/Center | 8840 Calumet Ave, Suite 102, Munster, IN 46321-2545 | 2014-09-29 |
| 1932538683 | Ryan Lee Hollis | Nurse Practitioner | 8840 Calumet Ave, Ste 206, Munster, IN 46321-2546 | 2013-11-04 |
| 1407197346 | Kathryn Lillian Trojan | Pain Medicine | 8840 Calumet Ave, Suite 103, Munster, IN 46321-2545 | 2013-03-01 |
| 1821343062 | Dynamic Medical Corporation | Clinic/Center | 8840 Calumet Ave, Suite#101, Munster, IN 46321-2545 | 2012-07-13 |
| 1104181429 | All Vital Home Healthcare, Inc. | Home Health | 8840 Calumet Ave, 102b Rm 1, Munster, IN 46321-2545 | 2012-07-12 |
| 1215200407 | Vital Home & Healthcare, Inc. | Home Health | 8840 Calumet Ave, Suite 102b, Munster, IN 46321-2545 | 2012-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881693562 | Pain Management Specialists LLC | Clinic/Center | 8840 Calumet Ave, Suite 103, Munster, IN 46321-4037 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463342 | Vigilance Anesthesiologists & Pain Specialists PC | Clinic/Center | 5363 Commerce Blvd Ste 100, Crown Point, IN 46307-5325 | 2019-05-21 |
| 1902213671 | Spahaute Company | Clinic/Center | 680 E Springhill Dr, Terre Haute, IN 47802-6804 | 2014-07-15 |
| 1689813669 | True Care Chiropractic, Inc | Clinic/Center | 12813 W 150 N, Linton, IN 47441-6304 | 2009-02-13 |
| 1962650218 | Midwest Pain Clinic | Clinic/Center | 907 Washington St, Michigan City, IN 46360-3517 | 2008-08-28 |
| 1407487119 | Advanced Lifestyle Care PC | Clinic/Center | 6195 Marcella Blvd, Hobart, IN 46342-0040 | 2020-01-31 |
| 1447891130 | Sage Interventional Pain Medicine | Clinic/Center | 1169 N Main St Ste 7, Bluffton, IN 46714-1362 | 2019-10-03 |
| 1114482122 | Pro Surge Indy LLC | Clinic/Center | 4725 Statesmen Dr Ste B, Indianapolis, IN 46250-5645 | 2019-02-04 |
| 1235687666 | Green Surgical, LLC. | Clinic/Center | 8687 Connecticut St, Suite D, Merrillville, IN 46410-6361 | 2016-09-14 |
| 1467907907 | Physical Medicine and Rehabilitation | Clinic/Center | 1146 Washington Sq, Evansville, IN 47715-6809 | 2016-08-24 |
| 1548696446 | Midwest Pain Clinic Interventional LLC | Clinic/Center | 350 Commerce Sq, Michigan City, IN 46360-3376 | 2013-09-24 |
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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.