INDIANA PAIN AND SPINE CLINIC CORPORATION (NPI# 1023278470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023278470 |
| Entity Type | Organization |
| Organization Name | INDIANA PAIN AND SPINE CLINIC CORPORATION |
| Practice Address |
6915 N Fir Rd Granger IN 46530-4754 |
| Practice Telephone | 5742342191 |
| Practice Fax Number | 5742347720 |
| Mailing Telephone | 5742342191 |
| Mailing Fax Number | 5742347720 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | DR. AMER M KAZI (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5742342191 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
01059304A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000576523 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | INDIANA PAIN AND SPINE CLINIC CORPORATION | 53830 Generations Drive, Ste 110, South Bend, IN 46635 |
| Street Address |
6915 N FIR RD |
| City | GRANGER |
| State | IN |
| Zip Code | 46530-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122914 | Amer M. Kazi | Psychiatry & Neurology | 6915 N Fir Rd, Granger, IN 46530-4754 | 2005-05-24 |
| 1417424888 | Fhs Laboratory, LLC | Clinical Medical Laboratory | 6915 N Fir Rd, Granger, IN 46530-4754 | 2018-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| Find all providers in zip 46530 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609258763 | Philip Michael Shumsky | Pain Medicine | 1120 West Michigan Street, Cl 626, Indianapolis, IN 46202 | 2015-06-25 |
| 1033501937 | Todd Noel Wolford | Pain Medicine | 10176 W 400 N Ste B, Michigan City, IN 46360-9009 | 2015-03-02 |
| 1376809566 | Xiaogang Jiang | Pain Medicine | 207 Sparks Ave Ste 300, Jeffersonville, IN 47130-3739 | 2012-04-02 |
| 1992981997 | Sonovu Diagnostics LLC | Pain Medicine | 17039 Mercantile Blvd, Noblesville, IN 46060-3941 | 2008-01-21 |
| 1104932185 | Institute of Comprehensive Pain Management, LLC | Pain Medicine | 30 South Emerson Avenue, Greenwood, IN 46143 | 2006-08-22 |
| 1801902192 | Harrison County Hospital | Pain Medicine | 1263 Hospital Dr, Suite 270, Corydon, IN 47112-1878 | 2006-08-21 |
| 1104878982 | Gregory Scott Masimore | Pain Medicine | 730 Executive Park Dr Ste A, Greenwood, IN 46143-3213 | 2006-05-17 |
| 1407825813 | Ryan D Loyd | Pain Medicine | 415 N 26th St., Suite 202, Lafayette, IN 47904 | 2006-03-16 |
| 1700433588 | Deaconess Hospital, Inc | Pain Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-08-26 |
| 1265996144 | Neurology and Pain Medical Associates LLC | Pain Medicine | 123 S Mckinley Ave, Rensselaer, IN 47978-2949 | 2019-01-25 |
| Find all providers with the same taxonomy | ||||
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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.