Pain Management Center of Southern Indiana

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAIN MANAGEMENT CENTER OF SOUTHERN INDIANA

Practice address

3654 S 4TH St
Terre Haute, IN 47802-5543

Phone

(812) 232-7246

Fax

(812) 232-7202

NPI assigned

Apr 20, 2009

Last updated

Jun 15, 2009By 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

Kamal K. Tiwari

Title

Owner

Phone

(812) 232-7246

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1467696500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 S ROCKPORT RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474039765",
            "telephone_number": "812-232-7246",
            "fax_number": "812-232-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 S 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025543",
            "telephone_number": "812-232-7246",
            "fax_number": "812-232-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CENTER OF SOUTHERN INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "TIWARI",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-232-7246"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikita Pack, RBT
• Amy Padgett
• Angela Padgett, RBT
• David Padgett
• Pain and Aging Management LLC
• Douglas H Paine, M.D.
• Paitson Bros Hardware Co Inc
• Jeremiah Elias Palmer, M.D.
• Aubrey Papinchock, RBT
• Paras Harshawat, MD (Paras Harshwat, MD)

• Pain Medicine Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.