Provider Type Icon

COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY SC NPI 1497810857


NPI Information

NPI: 1497810857
Provider Name: COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY, SC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
820 E GRANT ST
SUITE 335
APPLETON, WI
ZIP 54911
Phone: (920) 733-7230
Get Directions

COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY, SC is an interventional pain medicine pain medicine in Appleton, WI. 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. COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY, SC NPI is 1497810857. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

820 E GRANT ST
SUITE 335
APPLETON, WI
ZIP 54911-490
Phone: (920) 733-7230

The provider's authorized official is Alexander E Yakovlev .
The authorized official title is Owner/president and has the following contact phone number (920) 733-7230.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 1/24/2013.


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
1207LP2900XAnesthesiologyPain Medicine36140-20WISCONSINNo
2332B00000XDurable Medical Equipment & Medical Supplies36140-20WISCONSINNo
3208VP0014XPain MedicineInterventional Pain Medicine36140-20WISCONSINYes

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
134086400MEDICAIDWISCONSIN
26687320002MEDICARE NSCWISCONSIN
3H38458MEDICARE UPINWISCONSIN

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.