Active NPI
Centers for Pain Control Inc.
- Pain Medicine Physician
- Hobart, IN
National Provider Identifier
1124440771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 1063580A
- Legal business name
- CENTERS FOR PAIN CONTROL INC.
- Practice address
- 201 Main St
Hobart, IN 46342-4439 - Phone
- (219) 476-7246
- Fax
- (219) 476-1713
- NPI assigned
- Jan 16, 2014
- Organization subpart
- Yes
- Parent organization
- CENTERS FOR PAIN CONTROL INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ujwala Puranik
- Title
- Administrator
- Phone
- (219) 476-7246
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Pain Medicine Physician | 208VP0000X | 1063580A | IN | Primary |
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
201 Main St
Hobart, IN 46342-4439
Mailing address
2500 Calumet Ave Ste E
Valparaiso, IN 46383-3735
Phone (219) 476-7246
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2071863 | Centers for Pain Control | Certificate of waiver | Jan 20, 2028 |
National Provider Directory
National Provider Directory- Part of
- Centers for Pain Control Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pain Medicine Physician
- La Porte, IN
- NPI 1790920452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613001600000",
"number": "1124440771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 CALUMET AVE STE E",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463833735",
"telephone_number": "219-476-7246",
"fax_number": "844-867-7131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MAIN ST",
"city": "HOBART",
"state": "IN",
"postal_code": "463424439",
"telephone_number": "219-476-7246",
"fax_number": "219-476-1713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTERS FOR PAIN CONTROL INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTERS FOR PAIN CONTROL INC.",
"enumeration_date": "2014-01-16",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A",
"authorized_official_last_name": "PURANIK",
"authorized_official_first_name": "UJWALA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "219-476-7246"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "IN",
"license": "1063580A",
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hobart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.