Pain and Aging Management LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAIN AND AGING MANAGEMENT LLC

Practice address

2400 Northpark Dr Ste 20
Columbus, IN 47203-4467

Phone

(812) 376-0700

Fax

(812) 376-8625

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Sandford Matthew SchocketNPI 1851381818

Title

Ceo

Phone

(512) 584-8404

Specialties & licenses 6

Addresses

Other identifiers 7

Other names 1

• Wellspring Pain Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Capitol Pain Institute, PA

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1710467287

  Member Of

  NPD member

Locations

Practitioners 9

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

• Jeffrey Beck, MD

  • Physical Medicine & Rehabilitation Physician
  • Terre Haute, IN
  • NPI 1063605921
  Medicare reassignment Care Compare group NPD
• Adreona Nicole Hasert

  • Nurse Practitioner
  • Columbus, IN
  • NPI 1144000431
  Medicare reassignment Care Compare group NPD
• Sherri Mathies, NP

  • Family Nurse Practitioner
  • Holland, IN
  • NPI 1497060644
  Medicare reassignment Care Compare group NPD
• Richard Andrew Robertson, MD

  • Anesthesiology Physician
  • Columbus, IN
  • NPI 1346322179

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Timothy James Von Fange, MD

  • Sports Medicine (Family Medicine) Physician
  • Columbus, IN
  • NPI 1154461739
  Medicare reassignment Care Compare group NPD
• Sandford Matthew Schocket, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Austin, TX
  • NPI 1851381818

  IN

  Medicare reassignment NPD Authorized official
• Betsy Nelson, PA-C

  • Physician Assistant
  • Greenwood, IN
  • NPI 1790501245
  Medicare reassignment Care Compare group
• Robert James Stiles, PA-C

  • Physician Assistant
  • Greenwood, IN
  • NPI 1689532533
  Medicare reassignment Care Compare group
• Waleed Sultan, MD

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1760128409

  IN

  Medicare reassignment

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1124100961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 SHOAL CREEK BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577582",
            "telephone_number": "512-584-8404",
            "fax_number": "812-376-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NORTHPARK DR STE 20",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034467",
            "telephone_number": "812-376-0700",
            "fax_number": "812-376-8625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3740 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478025507",
            "country_code": "US",
            "telephone_number": "812-238-3030",
            "fax_number": "812-238-3040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 E County Line Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431082",
            "country_code": "US",
            "telephone_number": "317-886-1529",
            "fax_number": "317-866-1569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "374 Northside Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "470067052",
            "country_code": "US",
            "telephone_number": "812-717-4502",
            "fax_number": "812-376-8625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474035004",
            "country_code": "US",
            "telephone_number": "812-269-7674",
            "fax_number": "812-269-7718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN AND AGING MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "SCHOCKET",
        "authorized_official_first_name": "SANDFORD",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-584-8404"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300058096",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000366888",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300058095",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300058102",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201032950A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "226700",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300058106",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Pain Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Owens
• Paulette Padilla Shields, MD
• Senthilnathan Padmanabhan, PT
• Erica Paetzel, RBT
• Lila J Pagni, MSW, LCSW
• Pain Management Center of Southern Indiana
• Pain Management Solution LLC
• Pain Rehabilitation LLC
• Palliative Support Center
• Pankratz Eye Institute, LLC

• Pain Medicine Physician in Columbus, IN
• Providers in Columbus, 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 May 17, 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.