Organization Active NPI

Pain Relief, Inc.

  • Interventional Pain Medicine Physician
  • Minocqua, WI
National Provider Identifier
1619359122
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
55475-020 Issued in WI
Legal business name
PAIN RELIEF, INC.
Practice address
7520 US Highway 51
NWBJ
Minocqua, WI 54548-8943
Phone
(920) 427-8271
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Maurizio Z Albala, M.D.NPI 1407884984
Title
President
Phone
(920) 637-1435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 55475-020 WI Primary

Addresses

Primary practice location

7520 US Highway 51
NWBJ
Minocqua, WI 54548-8943

Mailing address

69 E Fox Point Dr
Little Chute, WI 54911-4105

Other identifiers 1

IdentifierTypeStateIssuer
1011622200001MedicaidPA

Other names 1

  • PRI Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1619359122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 E FOX POINT DR",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "549114105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 US HIGHWAY 51",
            "address_2": "NWBJ",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545488943",
            "telephone_number": "920-427-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "ALBALA",
        "authorized_official_first_name": "MAURIZIO",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-637-1435",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "55475-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011622200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minocqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.