NPIMap

Organization Active NPI

Pain Center of Southeast Indiana

  • Specialist
  • Seymour, IN
National Provider Identifier
1134316243
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01050375A Issued in IN
Legal business name
PAIN CENTER OF SOUTHEAST INDIANA
Practice address
1425 Corporate Way
Seymour, IN 47274-3391
Phone
(812) 523-3700
Fax
(812) 524-2946
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Anthony Alexander, M DNPI 1508949827
Title
Owner
Phone
(812) 523-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 01050375A IN Primary

Addresses

Primary practice location

1425 Corporate Way
Seymour, IN 47274-3391

Mailing address

1425 Corporate Way
P O Box 926
Seymour, IN 47274-3391
Phone (812) 523-3700

Other identifiers 1

IdentifierTypeStateIssuer
202918OtherINANTHEM

Other names 1

  • Indiana Pain Medicine & Rehab Institute Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1134316243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 CORPORATE WAY",
            "address_2": "P O BOX 926",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743391",
            "telephone_number": "812-523-3700",
            "fax_number": "812-524-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 CORPORATE WAY",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743391",
            "telephone_number": "812-523-3700",
            "fax_number": "812-524-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTER OF SOUTHEAST INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-523-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01050375A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "202918",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Pain Medicine & Rehab Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.