NPIMap

Organization Active NPI

Pain Management Solution LLC

  • Pain Medicine Physician
  • Greenwood, IN
National Provider Identifier
1396037255
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PAIN MANAGEMENT SOLUTION LLC
Practice address
730 Executive Park Dr Ste a
Greenwood, IN 46143-3213
Phone
(317) 346-7246
Fax
(317) 534-3763
NPI assigned
May 11, 2011
Last updated
Dec 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Gregory Masimore, MDNPI 1104878982
Title
Authorized Official
Phone
(317) 346-7246

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X IN Primary
Interventional Pain Medicine Physician 208VP0014X IN

Addresses

Primary practice location

730 Executive Park Dr Ste a
Greenwood, IN 46143-3213

Mailing address

730 Executive Park Dr Ste a
Greenwood, IN 46143-3213
Phone (317) 346-7246

National Provider Directory

National Provider Directory
Tax ID family
Pain Management Solution LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1130 W Jefferson St
Ste B
Franklin, IN 46131
Phone (317) 346-7246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, 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": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1396037255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 EXECUTIVE PARK DR STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433213",
            "telephone_number": "317-346-7246",
            "fax_number": "317-534-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 EXECUTIVE PARK DR STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433213",
            "telephone_number": "317-346-7246",
            "fax_number": "317-534-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "MASIMORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "317-346-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.