Indiana Pelvic Pain Specialists PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

INDIANA PELVIC PAIN SPECIALISTS PC

Practice address

985 Dorman St
Indianapolis, IN 46202-3570

Phone

(317) 288-1763

Fax

(816) 208-9047

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Amy Dawn Medley, DPTNPI 1568717106

Title

Vice President

Phone

(812) 891-3216

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Katherine W McHugh, MD

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
  • NPI 1366725319
  Medicare reassignment NPD
• Amy Dawn Medley

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1568717106
  NPD Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1073257291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 DORMAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023570",
            "telephone_number": "317-288-1763",
            "fax_number": "816-208-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 DORMAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023570",
            "telephone_number": "317-288-1763",
            "fax_number": "816-208-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA PELVIC PAIN SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "812-891-3216",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Pain and Wellness Center PC
• Indiana Pain Group
• Indiana Pathology Institute PC
• Indiana Pediatric Ophthalmology & Adult Strabismus, LLC
• Indiana Pediatric Pathology Institute Inc
• Indiana Perfusion Services, Inc.
• Indiana Physical Therapy, Inc.
• Indiana Physician Management, LLC
• Indiana Podiatry Group Inc
• Indiana Psychiatry PC

• Obstetrics & Gynecology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.