FW Interventional Pain Management LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01045203A Issued in IN

Legal business name

FW INTERVENTIONAL PAIN MANAGEMENT LLC

Practice address

2510 E Dupont Rd
Suite 115
Fort Wayne, IN 46825-1600

Phone

(260) 672-8979

NPI assigned

Nov 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michael Cozzi, MD

Title

Sole Member

Phone

(260) 672-8979

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1124459276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD",
            "address_2": "SUITE 115",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251600",
            "telephone_number": "260-672-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD",
            "address_2": "SUITE 115",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251600",
            "telephone_number": "260-672-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FW INTERVENTIONAL PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "COZZI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "260-672-8979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01045203A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David T Furman Jr., DO
• Molly S Furman, DO
• Stephanie Anne Furnas, LMFT
• Jordyn McKenzie Furnish, BCBA
• Ronald Furniss, LCSW, LCAC
• FW Toenges & Sons, Inc.
• FWBH, LLC
• FWBH, LLC
• G.I. Consultants, Inc.
• Hartley Gabbard, NP

• Anesthesiology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.