BRIAN MCCLENIC (NPI# 1801845078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801845078 |
| Entity Type | Individual |
| Full Name | BRIAN MCCLENIC |
| Credential | MD |
| Practice Address |
8317 Calumet Ave Munster IN 46321-1737 |
| Practice Telephone | 2195132333 |
| Practice Fax Number | 2195132334 |
| Mailing Telephone | 2195132333 |
| Mailing Fax Number | 2195132334 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 01051695A | IN | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
01051695A | IN | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
01051695 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085894 | 05 | |
| IN | 200251340A | 05 | |
| IN | ANTHEM BCBS | 000000494372 | 01 |
| IN | ANTHEM BC/BS OF INDIANA | 000000573813 | 01 |
| Street Address |
8317 CALUMET AVE |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568642601 | Interventional Spine and Pain Centers, LLC | Anesthesiology | 8317 Calumet Ave, Suite A, Munster, IN 46321-1737 | 2007-11-06 |
| 1245336486 | Shariq M Ibrahim | Anesthesiology | 8317 Calumet Ave, Munster, IN 46321-1737 | 2006-09-15 |
| 1700838331 | Flexeon Rehabilitation of Munster, LLC | Clinic/Center | 8317 Calumet Ave, Munster, IN 46321-1737 | 2006-05-16 |
| 1740230531 | Lorraine Kay Widdall | Clinical Nurse Specialist | 8317 Calumet Ave, Munster, IN 46321-1737 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| 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 |
|---|---|---|---|---|
| 1942818109 | Advanced Pain Treatment of Chicago Sc | Pain Medicine | 1950 45th St Ste 101, Munster, IN 46321-3958 | 2020-07-14 |
| 1407197346 | Kathryn Lillian Trojan | Pain Medicine | 8840 Calumet Ave, Suite 103, Munster, IN 46321-2545 | 2013-03-01 |
| 1932108511 | Ravi Kanakamedala | Pain Medicine | 8840 Calumet Ave, Suite 103, Munster, IN 46321-2529 | 2005-07-18 |
| 1497754287 | Shanu Kondamuri | Pain Medicine | 8840 Calumet Ave, Suite 103, Munster, IN 46321-2545 | 2005-07-14 |
| 1811996606 | Satish Dasari | Pain Medicine | 8840 Calumet Ave, Suite 103, Munster, IN 46321-2529 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176087 | Pg Pro LLC | Pain Medicine | 4715 Statesmen Dr Ste Ab, Indianapolis, IN 46250-5642 | 2020-08-25 |
| 1871050781 | Pain Management Solution LLC | Pain Medicine | 4010 W Goeller Blvd Ste C, Columbus, IN 47201-8312 | 2019-02-27 |
| 1841764495 | Pain Management Centers of America, Psc | Pain Medicine | 1717 S State Road 57 Ste F, Washington, IN 47501-4179 | 2019-01-16 |
| 1982185641 | Midwest Pain Institute Center for Minimally Invasive Spine PC | Pain Medicine | 7301 N Shadeland Ave Ste 1a, Indianapolis, IN 46250-2085 | 2018-08-22 |
| 1679088405 | Advanced Pain Care Clinic Psc | Pain Medicine | 5320 Weston Rd, Evansville, IN 47712-3701 | 2017-12-01 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1366987513 | Gary Gettelfinger Md Dabpm LLC | Pain Medicine | 1619 N Prairie Green Ct, Bloomington, IN 47408-8701 | 2016-12-27 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1801938642 | Michael G. Cassaro, Md, Psc | Pain Medicine | 200 Missouri Ave, Suite B, Jeffersonville, IN 47130-3061 | 2007-02-12 |
| 1497841068 | Gavin D Chartier LLC | Pain Medicine | 328 N 2nd St, Suite 308, Vincennes, IN 47591-1351 | 2006-10-04 |
| 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.