Terre Haute Pain Care PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

01026731A Issued in IN

Legal business name

TERRE HAUTE PAIN CARE PC

Practice address

1183 E Canvasback Dr
Terre Haute, IN 47802-5304

Phone

(317) 781-3604

Fax

(317) 780-3345

NPI assigned

May 17, 2006

Last updated

Aug 22, 2020By 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

Ms. Sandy Ochsner, BUSINESS OFFICE

Title

Credentialing Specialist

Phone

(317) 781-3604

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487606489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 E CANVASBACK DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025304",
            "telephone_number": "317-781-3604",
            "fax_number": "317-780-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 E CANVASBACK DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025304",
            "telephone_number": "317-781-3604",
            "fax_number": "317-780-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRE HAUTE PAIN CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OCHSNER",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "317-781-3604",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BUSINESS OFFICE"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01026731A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.