Shailesh Gandhi (NPI# 1992758783, PAC ID# 3173534526) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1992758783 |
| PAC ID by PECOS | 3173534526 |
| Professional Enrollment ID | I20181213000241 |
| Full Name | Shailesh Gandhi |
| Organization Legal Name | INNOVATIVE PAIN CARE LLC |
| Address |
2900 W Oaklahoma Ave Milwaukee WI 52315-4330 |
| Phone Number | 4146496000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 6406952555 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520096 | WHEATON FRANCISCAN HEALTHCARE ALL SAINTS |
| 520205 | MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL |
| 520136 | WHEATON FRANCISCAN ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 3111 W Rawson Ave, Suite 210, Franklin, WI 53132-9417 | 4147612600 | INNOVATIVE PAIN CARE LLC |
| 2900 W Oaklahoma Ave, Milwaukee, WI 52315-4330 | 4146496000 | INNOVATIVE PAIN CARE LLC |
| 3811 Spring St, Suite 301, Mount Pleasant, WI 53405-1667 | 2626876260 | ASCENSION MEDICAL GROUP SOUTHEAST WISCONSIN INC |
| Organization Legal Name | INNOVATIVE PAIN CARE LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Obrien | Nurse Practitioner | Innovative Pain Care LLC | 3111 W Rawson Ave, Franklin, WI 53132-9417 |
| Gordon L Mortensen | Interventional Pain Management | Innovative Pain Care LLC | 36500 Aurora Dr, Summit, WI 53066-4899 |
| John E Brusky | Anesthesiology | Innovative Pain Care LLC | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Jeffrey S Quintana | Anesthesiology | Innovative Pain Care LLC | 36500 Aurora Dr, Summit, WI 53066-4899 |
| Street Address |
2900 W OAKLAHOMA AVE |
| City | MILWAUKEE |
| State | WI |
| Zip | 52315-4330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob E Pudenz | Chiropractic | 14 Main St, Newhall, IA 52315-8800 |
| City | MILWAUKEE |
| Zip Code | 52315 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | MILWAUKEE + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Shailesh Gandhi.
| 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.