COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY S.C. NPI 1770846776

NPI Information

  • NPI: 1770846776
  • Provider Name: COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY, S.C.
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 100 THEDA CLARK MEDICAL PLZ
    SUITE 252
    NEENAH, WI
    ZIP 54956
  • Phone: (920) 733-7230

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NPI Details

COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY, S.C. is an interventional pain medicine pain medicine in Neenah, 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, S.C. NPI is 1770846776. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 THEDA CLARK MEDICAL PLZ
SUITE 252
NEENAH, WI
ZIP 54956-763
Phone: (920) 733-7230
Fax: (920) 729-0347

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

The enumeration date for this NPI number is 6/25/2012 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H38458MEDICARE UPINWISCONSIN
26687320001MEDICARE NSCWISCONSIN
334086400MEDICAIDWISCONSIN

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: 3/30/2025

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