Organization Active NPI

Integrative Pain Centers of America LTD

  • Interventional Pain Medicine Physician
  • Rock Island, IL
National Provider Identifier
1255310306
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036083608 Issued in IL
Legal business name
INTEGRATIVE PAIN CENTERS OF AMERICA LTD
Practice address
2508 25TH St Ste D
Rock Island, IL 61201-5419
Phone
(309) 762-7246
Fax
(309) 762-7242
NPI assigned
Jan 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Venkateswara R Karuparthy, MD
Title
President
Phone
(309) 762-7245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 036083608 IL Primary

Addresses

Primary practice location

2508 25TH St Ste D
Rock Island, IL 61201-5419

Mailing address

PO Box 850
Moline, IL 61266-0850
Phone (309) 762-9711

National Provider Directory

National Provider Directory

Locations

4622 Progress Dr
Ste 3
Davenport, IA 52807
Phone (309) 762-7246

3811 N Harrison St
Davenport, IA 52806
Phone (309) 762-7246

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": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1255310306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612660850",
            "telephone_number": "309-762-9711",
            "fax_number": "309-762-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 25TH ST STE D",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015419",
            "telephone_number": "309-762-7246",
            "fax_number": "309-762-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PAIN CENTERS OF AMERICA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "KARUPARTHY",
        "authorized_official_first_name": "VENKATESWARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-762-7245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036083608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.