Vincent Tupper (NPI# 1609139583, PAC ID# 1557643368) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1609139583 |
| PAC ID by PECOS | 1557643368 |
| Professional Enrollment ID | I20170509000221 |
| Full Name | Vincent Tupper |
| Organization Legal Name | PAIN CONTROL ASSOCIATES LLC |
| Address |
20201 Crawford Ave Olympia Fields IL 60461-1010 |
| Phone Number | 7087560100 |
| Gender | M |
| Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 3577575042 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150166 | PINNACLE HOSPITAL |
| 150034 | ST MARY MEDICAL CENTER INC |
| 150002 | METHODIST HOSPITALS INC |
| 140172 | FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS |
| 150125 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7280 W Lincoln Hwy, Crown Point, IN 46307-9526 | 2198649494 | PAIN CONTROL ASSOCIATES LLC |
| 9301 Connecticut Dr, Crown Point, IN 46307-7486 | 2197562100 | PAIN CONTROL ASSOCIATES LLC |
| 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 5746220800 | LAKESHORE ANESTHESIA PC |
| 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 7087560100 | PAIN CONTROL ASSOCIATES LLC |
| 3800 Saint Mary Rd, Valparaiso, IN 46383-3986 | 2192863765 | PAIN CONTROL ASSOCIATES LLC |
| Organization Legal Name | PAIN CONTROL ASSOCIATES LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajive K Adlaka | Interventional Pain Management | Pain Control Associates LLC | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Krishna D Parameswar | Physical Medicine and Rehabilitation | Pain Control Associates LLC | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Street Address |
20201 CRAWFORD AVE |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip | 60461-1010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle J Kleist | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Veera A Rao | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Anil Kumar Lamba | General Surgery | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Charles E Geringer | Rheumatology | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| James Siegert | Internal Medicine | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Ritchie L Ambroise | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Matthew Martens | General Surgery | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Antonio Abrego | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Saima Safdar | Family Medicine | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Byron L Wright | Optometry | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shinu P Varghese | Optometry | Bolingbrook Eye Specialists Ltd | 7516 S Cass Ave Brookhaven Plz, Suite 12, Darien, IL 60461 |
| Robert R Richardson | Optometry | Bolingbrook Eye Specialists Ltd | 7516 S Cass Ave Brookhaven Plz, Suite 12, Darien, IL 60461 |
| Gordon A Schulz | Psychologist, Clinical | Franciscan Physician Network | 20121 Crawford Ave, Olympia Fields, IL 60461-1009 |
| Jared Mahylis | Orthopedic Surgery | Specialty Physicians of Illinois LLC | 20201 S Crawford Ave, Suite 1400, Olympia Fields, IL 60461-1010 |
| David P Smith | Psychologist, Clinical | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | |
| Rajive K Adlaka | Interventional Pain Management | Pain Control Associates LLC | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Christal West | Obstetrics/gynecology | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Frank Howard Parker | Physical Medicine and Rehabilitation | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | |
| Adrienne L Fregia | Gastroenterology | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Sandra E Dempsey | Registered Dietitian Or Nutrition Professional | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Find all physicians in zip 60461 | |||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | OLYMPIA FIELDS + INTERVENTIONAL PAIN MANAGEMENT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.