Advanced Pain Centers LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ADVANCED PAIN CENTERS LLC

Practice address

5355 Commerce Dr
Crown Point, IN 46307-5325

Phone

(219) 756-0600

NPI assigned

Jun 23, 2006

Organization subpart

No

Name

Mr. Faisal M. Rahman, PH.D.

Title

Ceo

Phone

(219) 865-3819

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry M Salberg, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Merrillville, IN
  • NPI 1073666749
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2007.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1023044146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 W US HIGHWAY 30",
            "address_2": "SUITE 202",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752266",
            "telephone_number": "219-865-3819",
            "fax_number": "219-865-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 COMMERCE DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075325",
            "telephone_number": "219-756-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-865-3819",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002497209",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000098212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ava Ahmad
• Faheem Ahmad, MD

• All providers in Crown Point, IN
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.