Advanced Pain Control Center, PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ADVANCED PAIN CONTROL CENTER, PC

Practice address

4550 E 53Rd Street
Suite 100
Davenport, IA 52807-2710

Phone

(563) 332-2152

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Ronny Kafiluddi, M.D., PHDNPI 1679533400

Title

Owner

Phone

(563) 359-3949

Specialties & licenses 1

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.

• Ronny Kafiluddi, M.D., PHD

  • Pain Medicine Physician
  • Latham, NY
  • NPI 1679533400
  NPD (past) Authorized official
• Brett C. Lockman, DO

  • Interventional Pain Medicine Physician
  • Sonora, CA
  • NPI 1003002742
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1720048564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072710",
            "telephone_number": "563-359-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E 53RD STREET",
            "address_2": "SUITE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072710",
            "telephone_number": "563-332-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN CONTROL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "KAFILUDDI",
        "authorized_official_first_name": "RONNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-359-3949",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464404",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Lynn Adamson, COTA/L
• Laura C Adamson, M.A. CCC-SLP
• Madison Claire Adank, FNP-BC
• Olayinka A. Adedayo, M.D.
• Aina Nyenma Adekunle, M.D.
• Advanced Wellness Sports and Spine, PC
• Aeon Group HST
• Aeon Sleep Group
• Affluence Care LLC
• Nancy J Agnew, ARNP

• Pain Medicine Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Pain Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.