Active NPI
Merrillville Pain Relief Center PC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Merrillville, IN
National Provider Identifier
1639454440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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, 2011
- 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
- William Milo
- Title
- VP
- Phone
- (813) 569-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1396992236
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
- Merrillville Community School Corporation
- Merrillville Dental Center Inc.
- Merrillville Eye Clinic, Inc
- Merrillville Family Medical Center
- Merrillville Orthopedics and Spine Institute LLC
- Merrillville Plaza Anesthesia Corporation
- Merrillville Surgery Center
- Julie Ann Mescall, PSY.D
- Anastacia Austriaco Mesina, PA-C
- Jacob George Messing, LCSW
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.