SK Med LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SK MED LLC

Doing business as

Interventional Pain Specialists of Indiana

Practice address

500 Legacy PLZ W
La Porte, IN 46350-5254

Phone

(219) 575-7578

Fax

(219) 575-7186

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By 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

Rhonda Mendoza

Title

Practice Administrator

Phone

(219) 575-7578

Specialties & licenses 1

Addresses

Other names 1

• Interventional Pain Specialists of Indiana Doing business as

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: skhan@cpp.ssdirect.aprima.com

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1487244059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LEGACY PLZ W",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505254",
            "telephone_number": "219-575-7578",
            "fax_number": "219-575-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LEGACY PLZ W",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505254",
            "telephone_number": "219-575-7578",
            "fax_number": "219-575-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "219-575-7578"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skhan@CPP.ssdirect.aprima.com",
            "affiliation": "N",
            "address_1": "500 Legacy Plz W",
            "city": "LA Porte",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463505254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Interventional Pain Specialists of Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Glenn Silver, LSW
• Dustin T Simcoe
• Amy Singh, PHARMD
• Linda S Sirugo, M.D.
• Jessica Sizemore, RBT
• Amanda Smith, MS CCC SLP
• Julie Smith, LSW
• Kimberly K Smith, DC
• Maureen Jill Hogan Smith, FNP-BC
• Wendy Smith, MS, OTR

• Pain Medicine (Anesthesiology) Physician in La Porte, IN
• Providers in La Porte, IN by specialty
• Pain Medicine (Anesthesiology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.