PAIN MANAGEMENT CENTER OF SOUTHERN INDIANA (NPI# 1720222862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720222862 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT CENTER OF SOUTHERN INDIANA |
| Practice Address |
1919 State Street Suite 100 New Albany IN 47150-4929 |
| Mailing Address |
4330 S Rockport Rd Bloomington IN 47403-9765 |
| Practice Telephone | 8129447246 |
| Practice Fax Number | 8129491538 |
| Mailing Telephone | 8129447246 |
| Mailing Fax Number | 8129491538 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | KAMAL K. TIWARI (OWNER) |
| Authorized Official Telephone | 8129447246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | IN | Allopathic & Osteopathic Physicians | |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100389270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467696500 | Pain Management Center of Southern Indiana | Anesthesiology | 3654 S 4th St, Terre Haute, IN 47802-5543 | 2009-04-20 |
| 1447494588 | Pain Management Center of Southern Indiana | Anesthesiology | 3162 N National Rd, Columbus, IN 47201-3170 | 2009-04-20 |
| 1366686404 | Pain Management Center of Southern Indiana | Anesthesiology | 8802 S Madison Ave, Indianapolis, IN 46227-6459 | 2009-04-20 |
| 1700020849 | Pain Management Center of Southern Indiana | Anesthesiology | 3555 N Newton Street, Jasper, IN 47546-1051 | 2009-04-20 |
| 1720315781 | Pain Management Center of Southern Indiana | Anesthesiology | 275 W 12th St, Suite 206, Peru, IN 46970-1638 | 2009-11-12 |
| 1417284415 | Pain Management Center of Southern Indiana | Anesthesiology | 12 W Main St, Bloomfield, IN 47424-1424 | 2009-11-11 |
| Street Address |
1919 STATE STREET SUITE 100 |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-4929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508374570 | Waheed Ahmad | Surgery | 1919 State Street, 308, New Albany, IN 47150-6806 | 2018-01-11 |
| 1558513416 | Kentuckiana Heart Doctors Inc | Specialist | 1919 State Street, Suite 302, New Albany, IN 47150-6806 | 2008-10-22 |
| 1336238591 | Chatham Facial Plastic Surgery LLC | Otolaryngology | 1919 State Street, Suite 144, New Albany, IN 47150 | 2006-10-12 |
| 1417042607 | Paul A Bender | Dentist | 1919 State Street, #310, New Albany, IN 47150 | 2006-10-04 |
| 1366558058 | Waheed Ahmad | Surgery | 1919 State Street, Suite 308, New Albany, IN 47150 | 2006-08-22 |
| 1104847862 | Syed T Raza | Internal Medicine | 1919 State Street, Suite 302, New Albany, IN 47150-6806 | 2006-07-21 |
| 1831115765 | Douglas Mark Bickers | Internal Medicine | 1919 State Street, Suite 248, New Albany, IN 47150 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| 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 | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
Please comment or provide details below to improve the information on PAIN MANAGEMENT CENTER OF SOUTHERN INDIANA.
| 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.