Organization Active NPI

Merrillville Pain Relief Center PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Merrillville, IN
National Provider Identifier
1639454440
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
MERRILLVILLE PAIN RELIEF CENTER PC
Practice address
One Tower Plaza
111 E 89TH Avenue, Ste 111
Merrillville, IN 46410-7184
Phone
(813) 569-6500
NPI assigned
Oct 13, 2011
Last updated
Oct 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
William Milo
Title
VP
Phone
(813) 569-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

One Tower Plaza
111 E 89TH Avenue, Ste 111
Merrillville, IN 46410-7184

Mailing address

5501 W Gray St
Tampa, FL 33609

National Provider Directory

National Provider Directory

Locations

111 E 89th Ave
#111
Merrillville, IN 46410
Phone (219) 769-8650

111 E 89th Ave
Ste 111
Merrillville, IN 46410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1639454440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W GRAY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE TOWER PLAZA",
            "address_2": "111 E 89TH AVENUE, STE 111",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107184",
            "telephone_number": "813-569-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILLVILLE PAIN RELIEF CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "MILO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "813-569-6500"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.