Kerry Panozzo MD PC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

KERRY PANOZZO MD PC

Practice address

3170 E 53Rd St
Davenport, IA 52807-3864

Phone

(309) 428-7055

NPI assigned

May 14, 2019

Organization subpart

Yes

Parent organization

KERRY PANOZZO MD PCAs reported in NPPES

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

Authorized official

Name

Kerry P Panozzo, MDNPI 1225017957

Title

Owner

Phone

(309) 428-7055

Specialties & licenses 1

Addresses

Other names 1

• Interventions in Pain Management LLC Doing business as

Tax ID family

Kerry Panozzo MD PC5 organizations share this tax ID, including this one

Part of

Kerry Panozzo MD PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Interventions in Pain Management LLC

  • Pain Clinic/Center
  • Davenport, IA
  • NPI 1891247904
  NPD tax ID
• Interventions in Pain Management LLC

  • Pain Clinic/Center
  • Davenport, IA
  • NPI 1982058624
  NPD tax ID
• Interventions in Pain Management LLC

  • Pain Clinic/Center
  • Rock Island, IL
  • NPI 1417370537
  NPD tax ID
• Interventions in Pain Management LLC

  • Pain Clinic/Center
  • Bradenton, FL
  • NPI 1538838370
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry P Panozzo, MD

  • Pain Medicine (Anesthesiology) Physician
  • Rock Island, IL
  • NPI 1225017957
  NPD (past) Authorized official

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1568028744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BLACKHAWK RD STE 2",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017039",
            "telephone_number": "309-428-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073864",
            "telephone_number": "309-428-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY PANOZZO MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KERRY PANOZZO MD PC",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "PANOZZO",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-428-7055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventions in Pain Management LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Virgil Kern, D.C.
• Zachary Andrew Kern, D.C.
• Eugene L Kerns, MD
• Louis G Kerr, DC
• Nikolas Kerr
• Kelly W Kersten, P.T.
• Todd M Kersten, P.T.
• Thomas Edward Kersting, DDS
• Sara Pierce Kessinger, TLMHC
• Matthew A Ketelaar, MD

• Pain Clinic/Center in Davenport, IA
• Providers in Davenport, IA by specialty
• Pain Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.