Pain Management Interventions, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PAIN MANAGEMENT INTERVENTIONS, LLC

Practice address

2000 Roosevelt Rd
Valparaiso, IN 46383-2800

Phone

(219) 983-8300

Fax

(573) 776-6127

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Soeter, MD

Title

Owner

Phone

(219) 983-8300

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Phyllis Ann Hansen, NP

  • Nurse Practitioner
  • Poplar Bluff, MO
  • NPI 1366536849
  NPD (past)
• Debra G Russell, FNP

  • Family Nurse Practitioner
  • Poplar Bluff, MO
  • NPI 1255304440
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1700849247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639020393",
            "telephone_number": "573-785-4601",
            "fax_number": "573-776-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ROOSEVELT RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832800",
            "telephone_number": "219-983-8300",
            "fax_number": "573-776-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "SOETER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-983-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505222703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher R Oxendale, LMHC
• Julie Pabst, M.A., CCC-A
• Lorelie Padilla, RPT
• Alyssa Marie Pagliere Osan, M.D.
• Paige Maddex & Associates LLC
• Marcia A Palmer, PHARM.D.
• Aj Pampalone, D.O.
• Vineeta Panjwani
• Jon Henry Papineau, PHARMD
• Ryan William Pappas, D.O.

• Interventional Pain Medicine Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.