Institute of Comprehensive Pain Management, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

01040468 Issued in IN

Legal business name

INSTITUTE OF COMPREHENSIVE PAIN MANAGEMENT, LLC

Practice address

30 South Emerson Avenue
Greenwood, IN 46143

Phone

(317) 802-6317

Fax

(317) 870-0499

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Judith A Dunipace, M.D.

Title

Owner

Phone

(317) 887-9999

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• William L Driehorst, MD

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1346278561
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1104932185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "address_2": "DEPT 212",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462066069",
            "telephone_number": "866-333-6656",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SOUTH EMERSON AVENUE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "46143",
            "telephone_number": "317-802-6317",
            "fax_number": "317-870-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF COMPREHENSIVE PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "DUNIPACE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-887-9999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IN",
            "license": "01040468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000493208",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200833690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Grace Ingram
• Rebecca Marie Ingram, PT, DPT
• Inner Peace Counseling, LLC
• Insight Therapy Services
• Insight Therapy Services
• Inter-Health Acupuncture LLC
• Ioh South Surgery Center
• Ruxandra C Ionescu, MD
• Patricia Justine Irvin
• Leslie Suzanne Isaacs, FNP-C

• Pain Medicine Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.