Comprehensive Interventional Pain Management, P.C

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

235169 Issued in NY

Legal business name

COMPREHENSIVE INTERVENTIONAL PAIN MANAGEMENT, P.C

Practice address

Comprehensive Interventional Pain Management P.C
400 Route 211 East Suite 12
Middletown, NY 10940-2123

Phone

(845) 381-1164

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Chinweike Izeogu, M.D

Title

Medical Doctor

Phone

(845) 381-1164

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1194100586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROUTE 211 EAST",
            "address_2": "SUITE 211",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMPREHENSIVE INTERVENTIONAL PAIN MANAGEMENT P.C",
            "address_2": "400 ROUTE 211 EAST SUITE 12",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402123",
            "telephone_number": "845-381-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE INTERVENTIONAL PAIN MANAGEMENT, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "IZEOGU",
        "authorized_official_first_name": "CHINWEIKE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "845-381-1164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "235169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE NUMBER",
            "identifier": "235169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna M Collins, PA
• Laurie Ann Colman, M.D.
• Desiree Colon
• Migdalia Colon, MCH-LP
• Yalisha F Colon
• Comprehensive OT, PT, SLP & Adult Health NP Services, PLLC
• Concetto S Rametta MD PC
• Andrea Eunice Conde-Baez, PA-C
• Shannon E Condello
• Danielle Conklin, LMHC

• All providers in Middletown, NY
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.