Indiana Pain and Wellness Center PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INDIANA PAIN AND WELLNESS CENTER PC

Practice address

1305 W 96TH St Ste C
Indianapolis, IN 46260-1193

Phone

(317) 580-9867

NPI assigned

Aug 8, 2023

Last updated

Aug 8, 2023By 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

Mary Jo Johnson, SCNPI 1851383491

Title

Owner

Phone

(317) 580-9867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 11

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.

• Mary Jo Johnson, DC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1851383491
  Medicare reassignment Care Compare group NPD Authorized official
• Alexis Brumfield, APN

  • Family Nurse Practitioner
  • Plainfield, IN
  • NPI 1467963348
  Medicare reassignment Care Compare group NPD
• John Hawkins, DC

  • Chiropractor
  • Carmel, IN
  • NPI 1558067413
  Medicare reassignment Care Compare group NPD
• Steven R Avitabile, DC

  • Chiropractor
  • Morrisville, NC
  • NPI 1396727251

  IN

  Medicare reassignment Care Compare group NPD
• Audrey C Avitabile, APRN

  • Acute Care Nurse Practitioner
  • Carmel, IN
  • NPI 1417086117
  Medicare reassignment NPD
• Heather Arlinghaus, PT

  • Physical Therapist
  • Fishers, IN
  • NPI 1861668386
  NPD
• Trevor Farnsworth, D.C.

  • Chiropractor
  • Carmel, IN
  • NPI 1578982906
  NPD
• Travis W Morrison, D.C.

  • Chiropractor
  • Muncie, IN
  • NPI 1306373212
  NPD
• Sherrie Thompson Gordon, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1629524210
  NPD
• Heidi Kline, DC

  • Chiropractor
  • Carmel, IN
  • NPI 1952454258
  NPD (past)
• Vicki Knapke, DC

  • Chiropractor
  • Carmel, IN
  • NPI 1841367901
  NPD (past)

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1417630336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W 96TH ST STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601193",
            "telephone_number": "317-580-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 96TH ST STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601193",
            "telephone_number": "317-580-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA PAIN AND WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-580-9867",
        "authorized_official_credential": "SC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Organ Procurement Organization, Inc. (Indiana Donor Network)
• Indiana Orthopaedic Center
• Indiana Orthopaedic Center PC
• Indiana Orthopaedic Hospital, LLC (OrthoIndy Hospital)
• Indiana Pain and Injury Centers LLC
• Indiana Pain Group
• Indiana Pathology Institute PC (University Clinical Pathology Associates PC)
• Indiana Pediatric Ophthalmology & Adult Strabismus, LLC (Pediatric Ophthalmology and Adult Strabismus, LLC)
• Indiana Pediatric Pathology Institute Inc
• Indiana Pelvic Pain Specialists PC

• General Practice Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.