Interventional Pain Specialist PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

01053430A Issued in IN

Legal business name

INTERVENTIONAL PAIN SPECIALIST PC

Practice address

600 East Blvd
Elkhart, IN 46514-2483

Phone

(574) 523-3232

NPI assigned

May 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry Woodward, M.D.NPI 1215126792

Title

President

Phone

(574) 523-3232

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Henry Coyne Woodward, M.D.

  • Pain Medicine Physician
  • Elkhart, IN
  • NPI 1215126792
  NPD (past) Authorized official

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346291531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17932 AUGUSTA CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308417",
            "telephone_number": "574-523-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142483",
            "telephone_number": "574-523-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-523-3232",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01053430A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OF INDIANA",
            "identifier": "000000270332",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asher Inclan
• Indiana Health & Rehabilitation Centers (Elkhart Rehabilitation Center)
• Indiana Physical Therapy, Inc.
• Indiana Vision Clinic, Inc
• Enrique Eduardo Infante, M.D.
• Interventional Spine and Pain, P.C.
• Sheri Irons, MSW
• J E Steele DDS PC
• Darneysia Jackson
• James Jackson, D.O.

• Interventional Pain Medicine Physician in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.