NPIMap

Organization Active NPI

Integrated Pain and Health Center, SC

  • Pain Medicine Physician
  • Glendale, WI
National Provider Identifier
1235417486
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
48739 Issued in WI
Legal business name
INTEGRATED PAIN AND HEALTH CENTER, SC
Practice address
5261 N Port Washington Rd
Suite 101
Glendale, WI 53217-4903
Phone
(414) 332-6001
Fax
(414) 332-3712
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Dr. Corey Schneider
Title
President
Phone
(414) 332-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 48739 WI Primary

Addresses

Primary practice location

5261 N Port Washington Rd
Suite 101
Glendale, WI 53217-4903

Mailing address

5261 N Port Washington Rd
Suite 101
Glendale, WI 53217-4903
Phone (414) 332-6001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1235417486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 N PORT WASHINGTON RD",
            "address_2": "SUITE 101",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174903",
            "telephone_number": "414-332-6001",
            "fax_number": "414-332-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 N PORT WASHINGTON RD",
            "address_2": "SUITE 101",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174903",
            "telephone_number": "414-332-6001",
            "fax_number": "414-332-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN AND HEALTH CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-332-6001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WI",
            "license": "48739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.