Organization Active NPI

Interventional Pain Management

  • Specialist
  • Elmira, NY
National Provider Identifier
1144231473
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
177308 Issued in NY
Legal business name
INTERVENTIONAL PAIN MANAGEMENT
Practice address
601 E Church St
Elmira, NY 14901-2809
Phone
(607) 721-9860
Fax
(607) 271-9862
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Mary L. Furman, LPN/CCS-P
Title
Office Manager
Phone
(607) 271-9860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 177308 NY Primary

Addresses

Primary practice location

601 E Church St
Elmira, NY 14901-2809

Mailing address

601 E Church St
Elmira, NY 14901-2809
Phone (607) 721-9860

National Provider Directory

National Provider Directory

Locations

601 E Church St
Elmira, NY 14901
Phone (607) 271-9860

Practitioners & affiliated clinicians

Practitioners 1

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1144231473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012809",
            "telephone_number": "607-721-9860",
            "fax_number": "607-271-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012809",
            "telephone_number": "607-721-9860",
            "fax_number": "607-271-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "FURMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "607-271-9860",
        "authorized_official_credential": "LPN/CCS-P"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "177308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.