NPIMap

Organization Active NPI

Universal Pain Management Institute LTD

  • Durable Medical Equipment & Medical Supplies
  • Orland Park, IL
National Provider Identifier
1306489893
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD
Practice address
10 Orland Square Dr Ste 10-C
Orland Park, IL 60462-3207
Phone
(815) 401-5341
Fax
(708) 942-6001
NPI assigned
Oct 28, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSAL PAIN MANAGEMENT INSTITUTE LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Donald E Roland, MDNPI 1821074600
Title
Authorized Official
Phone
(815) 401-5341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Neurological Surgery Physician 207T00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

10 Orland Square Dr Ste 10-C
Orland Park, IL 60462-3207

Mailing address

461 Brown Blvd Ste a
Bourbonnais, IL 60914-2463
Phone (815) 932-7242

National Provider Directory

National Provider Directory
Part of
Universal Pain Management Institute LTD

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1306489893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 BROWN BLVD STE A",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142463",
            "telephone_number": "815-932-7242",
            "fax_number": "815-932-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ORLAND SQUARE DR STE 10-C",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623207",
            "telephone_number": "815-401-5341",
            "fax_number": "708-942-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "815-401-5341",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.