Physical Medicine and Rehabilitation

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

01035716A Issued in IN

Legal business name

PHYSICAL MEDICINE AND REHABILITATION

Practice address

1146 Washington SQ
Evansville, IN 47715-6809

Phone

(812) 426-2662

Fax

(812) 426-3141

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David William Johnson, MD

Title

Owner

Phone

(812) 425-2662

Specialties & licenses 1

Addresses

Other names 1

• Medical Pain Clinic Doing business as

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1467907907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 WASHINGTON SQ",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477156809",
            "telephone_number": "812-426-2662",
            "fax_number": "812-426-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 WASHINGTON SQ",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477156809",
            "telephone_number": "812-426-2662",
            "fax_number": "812-426-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-425-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IN",
            "license": "01035716A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Anne Phillips, ACNP
• Grant Randall Phillips, DPT
• Kylee Margaret Phillips
• William G Phillips
• Brittney Phipps, FNP-C
• Physical Therapy Resources,PC
• Physician Correctional USA (in), LLC
• Physician Management Services of Western Indiana, LLC
• Physicians Choice Hearing Center
• Physicians Choice Hearing Center

• Pain Clinic/Center in Evansville, IN
• Providers in Evansville, IN by specialty
• Pain Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.