Shadeland Anesthesia & Pain Associates Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHADELAND ANESTHESIA & PAIN ASSOCIATES INC.

Practice address

533 E County Line Rd Ste 201a
Greenwood, IN 46143-1074

Phone

(317) 706-7246

NPI assigned

Jun 10, 2021

Organization subpart

No

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

Authorized official

Name

Edward J Kowlowitz, MD

Title

Owner

Phone

(317) 706-7246

Specialties & licenses 2

Addresses

Other names 1

• Center for Pain Management Doing business as

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1144897745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29943 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "317-706-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 E COUNTY LINE RD STE 201A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431074",
            "telephone_number": "317-706-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADELAND ANESTHESIA & PAIN ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "KOWLOWITZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-706-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha J Seright, FNP
• Laura Elizabeth Sertich, NP
• Savannah Sevier, RBT
• Cassandra Marie Sexson, PA
• Anna Ostrovsky Shachaf
• Lauren Rose Shadiow, PA
• Shady Grove Behavioral Health, LLC
• Shaffer Holdings, LLC
• Jessica Lee Shaffer, NP
• Shannon Rae Shaffer, MA, CCC-SLP

• Durable Medical Equipment & Medical Supplies in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.