Provider Type Icon

RAYMOND S NANKO MD NPI 1922362334


NPI Information

NPI: 1922362334
Provider Name: RAYMOND S NANKO MD

Doing Business As: ACTIVECARE MEDICAL

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
919 W JACKSON ST
MUNCIE, IN
ZIP 47305
Phone: (765) 288-3276
Get Directions

RAYMOND S NANKO MD is an interventional pain medicine pain medicine in Muncie, IN. The provider is 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. RAYMOND S NANKO MD NPI is 1922362334. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Activecare Medical.

The provider's business location address is:

919 W JACKSON ST
MUNCIE, IN
ZIP 47305-554
Phone: (765) 288-3276
Fax: (765) 289-2389

The provider's authorized official is Raymond S Nanko .
The authorized official title is Owner and has the following contact phone number (765) 288-3276.

The enumeration date for this NPI number is 6/29/2012 and was last updated on 5/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain Medicine01045371AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G61644MEDICARE UPININDIANA
2201163010 AMEDICAIDINDIANA
3466750MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.