NPIMap

Organization Active NPI

Danville Pain Management and Rehabilitation Institute, LLC.

  • Pain Clinic/Center
  • Danville, IL
National Provider Identifier
1043427362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
DANVILLE PAIN MANAGEMENT AND REHABILITATION INSTITUTE, LLC.
Practice address
806 Sheridan St
Danville, IL 61832-3718
Phone
(217) 442-3010
Fax
(217) 442-3155
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Satyanarayana Ganapathi Raju, D.O., PHD
Title
Solo Proprietor
Phone
(217) 442-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

806 Sheridan St
Danville, IL 61832-3718

Mailing address

806 Sheridan St
Danville, IL 61832-3718
Phone (217) 442-3010

National Provider Directory

National Provider Directory

Locations

806 Sheridan St
Danville, IL 61832
Phone (217) 442-3010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043427362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 SHERIDAN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323718",
            "telephone_number": "217-442-3010",
            "fax_number": "217-442-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SHERIDAN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323718",
            "telephone_number": "217-442-3010",
            "fax_number": "217-442-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE PAIN MANAGEMENT AND REHABILITATION INSTITUTE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "SATYANARAYANA",
        "authorized_official_middle_name": "GANAPATHI",
        "authorized_official_title_or_position": "SOLO PROPRIETOR",
        "authorized_official_telephone_number": "217-442-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., PHD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.