Organization Active NPI

Complete Pain Care LLC

  • Pain Medicine (Anesthesiology) Physician
  • Avon, IN
National Provider Identifier
1578800561
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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

Updated by the provider on Jan 10, 2013

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1407815624OtherININDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.