INNOVATIVE PAIN CARE LLC (NPI# 1568682318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568682318 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PAIN CARE LLC |
| Practice Address |
3111 W Rawson Ave Suite 210 Franklin WI 53132-9417 |
| Practice Telephone | 4143254370 |
| Practice Fax Number | 4147610713 |
| Mailing Telephone | 4143254370 |
| Mailing Fax Number | 4147610713 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GORDON L MORTENSEN (PARTNER) |
| Authorized Official Telephone | 4143254370 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3111 W RAWSON AVE SUITE 210 |
| City | FRANKLIN |
| State | WI |
| Zip Code | 53132-9417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439515 | Associated Surgical and Medical Specialists | Clinic/Center | 3111 W Rawson Ave, Franklin, WI 53132-9417 | 2005-10-03 |
| 1871985226 | Milwaukee Sports Therapy | Clinic/Center | 3111 W Rawson Ave, Suite 215, Franklin, WI 53132-8890 | 2015-02-23 |
| 1033500855 | Molly A Morrow | Occupational Therapist | 3111 W Rawson Ave, Suite 215, Franklin, WI 53132-9417 | 2015-02-16 |
| 1467794586 | Athletic and Therapeutic Institute of Milwaukee, LLC | Physical Therapist | 3111 W Rawson Ave, Suite 215, Franklin, WI 53132-9417 | 2013-03-27 |
| 1508101601 | Matthew J Pitton | Physical Therapist | 3111 W Rawson Ave, Suite 215, Franklin, WI 53132-9417 | 2012-11-30 |
| 1760760391 | Shannon K Jacobi | Nurse Practitioner | 3111 W Rawson Ave, Suite 200, Franklin, WI 53132-9417 | 2011-08-01 |
| 1710289384 | Elisa Marie Diermeier | Nurse Practitioner | 3111 W Rawson Ave, Suite 240, Franklin, WI 53132-9417 | 2010-12-02 |
| 1346554821 | Elizabeth J Ganske | Physical Therapist | 3111 W Rawson Ave, Suite 215, Franklin, WI 53132-9417 | 2010-07-27 |
| 1194052753 | Milwaukee Surgical Specialists Sc | Surgery | 3111 W Rawson Ave, Suite 225, Franklin, WI 53132-9417 | 2009-11-03 |
| 1700110947 | Sally J Vahovick | Physician Assistant | 3111 W Rawson Ave, Ste 210, Franklin, WI 53132-9417 | 2009-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014405 | Michelle L. Lamers, D.d.s, L.L.C. | Dentist | 7111 S 76 Street, Franklin, WI 53132 | 2019-07-11 |
| 1649833765 | Lori A Mansur | Registered Nurse | 6580 S. 46th St., Franklin, WI 53132 | 2019-04-15 |
| 1619496296 | Emily Ninnemann | Occupational Therapist | 8940 S. 51st St, Franklin, WI 53132 | 2017-09-14 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1174980098 | Lisa Obrien | Registered Nurse | 3111 W Rawson Ave Ste 210, Franklin, WI 53132 | 2016-01-22 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1275940769 | Tristan Krause | Nurse Practitioner | 4225 W. Oakwood Park Court, Franklin, WI 53132 | 2014-07-16 |
| 1922344613 | Vital Imaging, LLC | Clinic/Center | 10500 W. Loomis Rd., Ste 130, Franklin, WI 53132 | 2012-12-27 |
| 1013285311 | Jill Barth | Pharmacist | 7130 South 76th Street, Franklin, WI 53132 | 2011-12-01 |
| 1235417783 | Hilary Megan Mayne | Dentist | 6855 South 27th St, Franklin, WI 53132 | 2011-08-02 |
| Find all providers in zip 53132 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770869232 | Vertex Spine and Pain, Pllc | Pain Medicine | 100 Covey Dr, Suite 103, Franklin, TN 37067-5665 | 2011-10-28 |
| 1396956298 | Franklin Pain Associates LLC | Pain Medicine | 9 Summer St, Suite 302, Franklin, MA 02038-1491 | 2007-05-24 |
| 1124012950 | Matthew P Rupert | Pain Medicine | 100 Covey Dr, Suite 103, Franklin, TN 37067-5665 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309276 | Wisconsin Spine and Pain Sc | Pain Medicine | 1604 Cedar Bnd, Hartland, WI 53029-8663 | 2020-06-01 |
| 1679119689 | Pain Physicians of Wisconsin, Sc | Pain Medicine | 5007 S Howell Ave Ste 115, Milwaukee, WI 53207-6158 | 2019-11-25 |
| 1619359122 | Pain Relief, Inc. | Pain Medicine | 7520 Us Highway 51, Nwbj, Minocqua, WI 54548-8943 | 2015-06-19 |
| 1093001851 | Brian Curtin | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2011-06-21 |
| 1285924969 | Thomas J. Guhl, M.d., S.c. | Pain Medicine | 3305 S 20th St Ste 150, Milwaukee, WI 53215-4941 | 2011-04-14 |
| 1457459869 | Nichole Virgo | Pain Medicine | 8901 N 76th St Fl 3, Milwaukee, WI 53223-1901 | 2006-09-20 |
| 1740889021 | Midwest Interventional Pain and Diagnostics | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2020-10-19 |
| 1720499759 | Ryan William Clark | Pain Medicine | 12203 Corporate Pkwy, Mequon, WI 53092 | 2014-05-13 |
| 1750791901 | David L. Scherwinski, M.d., S.c. | Pain Medicine | 140 24th St S, Wisconsin Rapids, WI 54494-1906 | 2014-04-28 |
| 1275799264 | Alberto C Clar Md Sc | Pain Medicine | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2008-07-30 |
| 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.