NPIMap

Organization Active NPI

Meridian Pain Group

  • Pain Clinic/Center
  • Brownsburg, IN
National Provider Identifier
1619310042
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
01027589A Issued in IN
Legal business name
MERIDIAN PAIN GROUP
Practice address
69 E Garner Rd
300
Brownsburg, IN 46112-7698
Phone
(317) 550-3999
Fax
(888) 588-4403
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. Gary Howard Wright, M.D.
Title
President
Phone
(317) 550-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 01027589A IN Primary

Addresses

Primary practice location

69 E Garner Rd
300
Brownsburg, IN 46112-7698

Mailing address

69 E Garner Rd
300
Brownsburg, IN 46112-7698
Phone (317) 550-3999

Other identifiers 1

IdentifierTypeStateIssuer
50005219AOtherINMEDLICAL CORPORATION

National Provider Directory

National Provider Directory

Locations

9292 N Meridian St
Ste 110
Indianapolis, IN 46260
Phone (317) 550-3999

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1619310042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 E GARNER RD",
            "address_2": "300",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127698",
            "telephone_number": "317-550-3999",
            "fax_number": "888-588-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 E GARNER RD",
            "address_2": "300",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127698",
            "telephone_number": "317-550-3999",
            "fax_number": "888-588-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PAIN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-550-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IN",
            "license": "01027589A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDLICAL CORPORATION",
            "identifier": "50005219A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.