Active NPI
Complete Pain Care LLC
- Pain Medicine (Anesthesiology) Physician
- Avon, IN
National Provider Identifier
1578800561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- COMPLETE PAIN CARE LLC
- Practice address
- 10744 E US Highway 36
Avon, IN 46123-7982 - Phone
- (317) 209-9811
- Fax
- (317) 209-9812
- NPI assigned
- Jan 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sally Tincher
- Title
- Office Manager
- Phone
- (765) 557-8541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
10744 E US Highway 36
Avon, IN 46123-7982
Mailing address
10744 E US Highway 36
Avon, IN 46123-7982
Phone (317) 209-9811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407815624 | Other | IN | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
10744 E US Highway 36
Avon, IN 46123
Phone (317) 209-9811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357776000000",
"number": "1578800561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10744 E US HIGHWAY 36",
"city": "AVON",
"state": "IN",
"postal_code": "461237982",
"telephone_number": "317-209-9811",
"fax_number": "317-209-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10744 E US HIGHWAY 36",
"city": "AVON",
"state": "IN",
"postal_code": "461237982",
"telephone_number": "317-209-9811",
"fax_number": "317-209-9812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE PAIN CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-10",
"last_updated": "2013-01-10",
"status": "A",
"authorized_official_last_name": "TINCHER",
"authorized_official_first_name": "SALLY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "765-557-8541"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1407815624",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
- Comfort Home Care LLC
- Comfort Plus Care LLC
- Community Birth Group
- Community Chiropractic LLC
- Complete Dental Care of Avon P.C.
- Comprehensive Dermatology PC
- Comprehensive Neurologic Services PC
- Comprehensive Pain and Spine Specialists LLC
- Comprehensive Pain and Spine Specialists LLC
- Steven G Conant, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.