COMPREHENSIVE PAIN REHAB OF SOUTHERN INDIANA LLC (NPI# 1689981979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689981979 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE PAIN REHAB OF SOUTHERN INDIANA LLC |
| Other Organization Name | PAIN MANAGEMENT SURGERY CENTER |
| Practice Address |
8802 S. Madison Avenue Suite D Indianapolis IN 46227-6400 |
| Practice Telephone | 8123337246 |
| Practice Fax Number | 8128896720 |
| Mailing Telephone | 8123337246 |
| Mailing Fax Number | 8128896720 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | DERK FRASIER (OWNER) |
| Authorized Official Telephone | 8123337246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | IN | Allopathic & Osteopathic Physicians | |
| N | 363L00000X | Nurse Practitioner | IN | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
IN | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
IN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pain Management Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578870879 | Comprehensive Pain Rehab of Southern Indiana LLC | Anesthesiology | 2920 Mcintire Drive, Suite 150b, Bloomington, IN 47403-4213 | 2010-09-08 |
| 1245546506 | Comprehensive Pain Rehab of Southern Indiana LLC | Nurse Practitioner | 2920 Mcintire Drive, Suite 150a, Bloomington, IN 47403-4213 | 2010-08-25 |
| Street Address |
8802 S. MADISON AVENUE SUITE D |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| 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 |
| 1538346689 | Indiana Spine Group, PC | Pain Medicine | 8040 Clearvista Pkwy, Suite 450, Indianapolis, IN 46256-5630 | 2008-01-30 |
| 1265537716 | Dan K. Nordmann | Pain Medicine | 8051 S Emerson Ave, Suite 360, Indianapolis, IN 46237-8600 | 2006-09-13 |
| 1447353255 | Driehorst & Peters, P.C. | Pain Medicine | 5255 E Stop 11 Rd, Suite 250, Indianapolis, IN 46237-6340 | 2006-09-07 |
| 1982648762 | Indiana Interventional Pain, LLC | Pain Medicine | 5445 E 16th St, Indianapolis, IN 46218-4869 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1881013647 | Joseph Folz | Pain Medicine | 7145 E Virginia St Ste 5000, Evansville, IN 47715 | 2014-04-09 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on COMPREHENSIVE PAIN REHAB OF SOUTHERN INDIANA LLC.
| 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.