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ADVANCED PAIN CARE CLINIC PSC NPI 1942378112


NPI Information

NPI: 1942378112
Provider Name: ADVANCED PAIN CARE CLINIC PSC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1101 PROFESSIONAL BLVD
EVANSVILLE, IN
ZIP 47714
Phone: (812) 477-7246
Get Directions

ADVANCED PAIN CARE CLINIC PSC is an interventional pain medicine pain medicine in Evansville, 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. ADVANCED PAIN CARE CLINIC PSC NPI is 1942378112. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1101 PROFESSIONAL BLVD
EVANSVILLE, IN
ZIP 47714-001
Phone: (812) 477-7246
Fax: (812) 477-7240

The provider's authorized official is Linda Hunter .
The authorized official title is Credentialing Manager and has the following contact phone number (812) 477-7246.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 3/19/2015.


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
12081P2900XPhysical Medicine & RehabilitationPain Medicine1062077AINDIANANo
2207RS0012XInternal MedicineSleep Medicine01055782AINDIANANo
32081P2900XPhysical Medicine & RehabilitationPain Medicine01066166AINDIANANo
42081P2900XPhysical Medicine & RehabilitationPain Medicine01036700AINDIANANo
51041C0700XSocial WorkerClinical34004175AINDIANANo
6208VP0014XPain MedicineInterventional Pain Medicine01038163AINDIANANo
7207RS0012XInternal MedicineSleep Medicine01039387AINDIANANo
8208VP0014XPain MedicineInterventional Pain Medicine01029835AINDIANANo
9363A00000XPhysician AssistantNo
10363AM0700XPhysician AssistantMedicalNo
11363L00000XNurse PractitionerNo
12208VP0014XPain MedicineInterventional Pain Medicine01055762AINDIANAYes

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
17529MEDICARE PINKENTUCKY
2200497580AMEDICAIDINDIANA
365942427MEDICAIDKENTUCKY
4218450MEDICARE 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.