Pain Management Care PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01024859B Issued in IN

Legal business name

PAIN MANAGEMENT CARE PC

Practice address

2106 Ironwood Cir
South Bend, IN 46635-1864

Phone

(574) 247-4682

Fax

(574) 247-4685

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph G Glazier, MDNPI 1053392571

Title

Owner

Phone

(574) 273-6546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Joseph G Glazier, MD

  • Interventional Pain Medicine Physician
  • South Bend, IN
  • NPI 1053392571
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1073665584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 IRONWOOD CIR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351864",
            "telephone_number": "574-247-4682",
            "fax_number": "574-247-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 IRONWOOD CIR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351864",
            "telephone_number": "574-247-4682",
            "fax_number": "574-247-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "GLAZIER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-273-6546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01024859B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Paciga
• Zander Paden
• Mercedes Padilla Rodriguez
• Brandice Lynn Page, APNP
• Cy L Page
• Robin M Palisano-Wolfe, PTA
• Edna Pamatmat, M.D.
• Jolene Florence Pangani, ATC
• Luiz C Pantalena Filho, MD, PHD
• Maria Filipina Mariano Pantig, PT

• Specialist in South Bend, IN
• Providers in South Bend, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.