PAIN CARE SURGERY, PC (NPI# 1184690570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184690570 |
| Entity Type | Organization |
| Organization Name | PAIN CARE SURGERY, PC |
| Practice Address |
108 Airway Dr Marion IL 62959-5841 |
| Practice Telephone | 6189977820 |
| Practice Fax Number | 6189976721 |
| Mailing Telephone | 6189977820 |
| Mailing Fax Number | 6189976721 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | DR. LAXMAIAH MANCHIKANTI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6189977820 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
7002900 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/BLUE SHIELD | BC#50386 | 01 |
| IL | HEALTH ALLIANCE | 100812 | 01 |
| Street Address |
108 AIRWAY DR |
| City | MARION |
| State | IL |
| Zip Code | 62959-5841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891267688 | Pain Management Centers of America | Psychiatry & Neurology | 108 Airway Dr, Marion, IL 62959-5841 | 2018-12-18 |
| 1407929870 | Kathy Amanda Long | Nurse Practitioner | 108 Airway Dr, Marion, IL 62959-5841 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962468967 | Marion Surgery Center Ltd | Clinic/Center | 806 North Treas, Marion, IL 62959 | 2006-04-26 |
| 1821066515 | Marion Healthcare LLC | Clinic/Center | 3003 Civic Circle Blvd, Marion, IL 62959-5259 | 2006-03-09 |
| 1487620043 | New Horizons Surgery Center LLC | Clinic/Center | 1167 Independence Ave, Marion, OH 43302-6360 | 2006-02-24 |
| 1962489393 | Surgicenter Group, LLC | Clinic/Center | 711 W Gardner Dr, Marion, IN 46952-1821 | 2005-12-28 |
| 1225398480 | Tri State Advanced Surgery Center, LLC. | Clinic/Center | 2596 Interstate 55, Marion, AR 72364-2327 | 2012-05-22 |
| 1518290998 | Eye Specialists Surgery Centers, LLC | Clinic/Center | 711 W Gardner Dr, Marion, IN 46952-1821 | 2009-09-16 |
| 1770616963 | Marion Women's Health Center Inc | Clinic/Center | 960 S Prospect St, Marion, OH 43302-6225 | 2007-03-14 |
| 1548352735 | Marion Anesthesia, Inc. | Clinic/Center | 1199 Delaware Ave, Suite 108, Marion, OH 43302 | 2006-09-28 |
| 1124026638 | Marion Health Systems LLC | Clinic/Center | 1050 Delaware Ave, Marion, OH 43302-6416 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245375 | Specialty Surgicare, Ltd | Clinic/Center | 500 W Golf Rd Ste 102, Schaumburg, IL 60195-3503 | 2020-04-29 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1922664622 | Premier Cardiac Surgery Center, LLC | Clinic/Center | 11560 S Kedzie Ave Ste 102, Merrionette Park, IL 60803-4517 | 2019-05-17 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1477017333 | Ontario Street Operatory | Clinic/Center | 22 W Ontario St, Chicago, IL 60654-5169 | 2019-01-24 |
| 1407329501 | Chicago Cosmetic Surgery Institute | Clinic/Center | 2335 S Michigan Ave, Chicago, IL 60616-2104 | 2019-01-10 |
| 1538647474 | Palos Health Surgery Center, LLC | Clinic/Center | 15300 West Ave Ste 260, Orland Park, IL 60462-4600 | 2018-08-02 |
| 1013493824 | Ann & Robert H. Lurie Children's Hospital of Chicago | Clinic/Center | 1121 Techny Rd, Northbrook, IL 60062-5503 | 2018-07-15 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 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.