Van Evanoff Jr. (NPI# 1851394175, PAC ID# 7214916048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1851394175 |
| PAC ID by PECOS | 7214916048 |
| Professional Enrollment ID | I20040924000648 |
| Full Name | Van Evanoff Jr. |
| Organization Legal Name | PAIN MANAGEMENT GROUP LLC |
| Address |
1542 S Bloomington St Greencastle IN 46135-2122 |
| Phone Number | 8003949338 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 0143453670 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151327 | SULLIVAN COUNTY COMMUNITY HOSPITAL |
| 150023 | UNION HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 1542 S Bloomington St, Greencastle, IN 46135-2122 | 8003949338 | PAIN MANAGEMENT GROUP LLC |
| 1542 S Bloomington St, Putnam County Hospital, Greencastle, IN 46135-2122 | 8003949338 | PAIN MANAGEMENT GROUP LLC |
| 223 S State Rd, Suite 135, Greenwood, IN 46142-1421 | 3178819792 | GRIESEMER CHIROPRACTIC, LLC |
| 223 S State Rd, Greenwood, IN 46142-1421 | 3178819792 | GRIESEMER CHIROPRACTIC, LLC |
| Organization Legal Name | PAIN MANAGEMENT GROUP LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacia Elizabeth Springer | Nurse Practitioner | Pain Management Group LLC | 975 Hager St, Saint Marys, OH 45885-2420 |
| Daniel Choyce Callahan | Pain Management | Pain Management Group LLC | 2204 N Section St, Suite B, Sullivan, IN 47882-7523 |
| Erica Lynn Clinker | Nurse Practitioner | Pain Management Group LLC | 130 Hill St, Bucyrus, OH 44820-1511 |
| Narendranath Lakshmipathy | Pain Management | Pain Management Group LLC | 442 W High St, Bryan, OH 43506-1681 |
| Lucinda Kay Reynolds | Nurse Practitioner | Pain Management Group LLC | 1275 N High St, Hillsboro, OH 45133-8273 |
| Shawn Sikka | Anesthesiology | Pain Management Group LLC | 910 Wallace Ave, Leitchfield, KY 42754-2414 |
| Christina P Lequan | Physician Assistant | Pain Management Group LLC | 9400 Rhea County Hwy, Dayton, TN 37321-7922 |
| Esther B Gotfryd | Nurse Practitioner | Pain Management Group LLC | 442 W High St, Bryan, OH 43506-1681 |
| Amanda Christine Springer | Physician Assistant | Pain Management Group LLC | 442 W High St, Bryan, OH 43506-1681 |
| Gary Black | Anesthesiology | Pain Management Group LLC | 9400 Rhea County Hwy, Dayton, TN 37321-7922 |
| Street Address |
1542 S BLOOMINGTON ST |
| City | GREENCASTLE |
| State | IN |
| Zip | 46135-2122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas C Heck | Psychologist, Clinical | Putnam County Hospital | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Helen E Sandford | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Holly Elizabeth Lee | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Alexandria Joanne Roemke | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington St, Johnson Nichols Health Clinic, Greencastle, IN 46135-2212 |
| Jennifer D Sheffler | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Keith R Thomae | General Surgery | Putnam County Hospital | 1542 S Bloomington St, 1100 Putnam Surgical Specialties, Greencastle, IN 46135-2212 |
| Alexandra M Gerber | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington St, Suite 1100, Greencastle, IN 46135-2212 |
| Hassan I Ahmad | Rheumatology | Putnam County Hospital | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Craig A Johnson | Family Medicine | Putnam County Hospital | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Margaret E Denham | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington St, Putnam Prompt Care, Greencastle, IN 46135-2212 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janna L Kissel | Physical Therapy | 1140 Indianapolis Rd, Greencastle, IN 46135-1458 | |
| Steve A Kissel | Family Medicine | 1148 Indianapolis Rd, Greencastle, IN 46135-1458 | |
| Russell Price Elliott | Optometry | 125 E Washington St, Greencastle, IN 46135-1511 | |
| Daryl Hodges | Optometry | Hodges Woodall Optometry PC | 814 E Washington St, Greencastle, IN 46135-1850 |
| Nicholas J Woodall | Optometry | Hodges Woodall Optometry PC | 814 E Washington St, Greencastle, IN 46135-1850 |
| Leslie Suzanne Woodall | Optometry | Hodges Woodall Optometry PC | 814 E Washington St, Greencastle, IN 46135-1850 |
| David B Parish | Chiropractic | Case Chiropractic PC | 1101 S Bloomington St, Greencastle, IN 46135-2203 |
| Isaac H Case | Chiropractic | Case Chiropractic PC | 1101 S Bloomington St, Greencastle, IN 46135-2203 |
| Sharon A Nicoson | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington, 1100 Putnam Surgical Specialties, Greencastle, IN 46135-2212 |
| Lori E Kemper | Nurse Practitioner | Franciscan Physician Network | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Find all physicians in zip 46135 | |||
| City | GREENCASTLE |
| Zip Code | 46135 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | GREENCASTLE + PHYSICAL MEDICINE AND REHABILITATION |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.