Active NPI
Advanced Pain Care Clinic PSC
- Interventional Pain Medicine Physician
- Vincennes, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- ADVANCED PAIN CARE CLINIC PSC
- Practice address
- 1813 Willow St Ste 3B
Vincennes, IN 47591 - Phone
- (812) 477-7246
- Fax
- (812) 477-7240
- NPI assigned
- Apr 7, 2017
- Last updated
- Aug 28, 2018
- 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
- Mahendra R Sanapati, MD
- Title
- President
- Phone
- (812) 214-4072
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1813 Willow St Ste 3B
Vincennes, IN 47591
Mailing address
1101 Professional Blvd
Evansville, IN 47714-8016
Phone (812) 477-7246
Other practice location 1
545 Willow St
Vincennes, IN 47591-1064
Phone (812) 477-7246
National Provider Directory
National Provider DirectoryLocations
1101 Professional Blvd
Evansville, IN 47714
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.
-
- Interventional Pain Medicine Physician
- Evansville, IN
- NPI 1154325959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535414400000",
"number": "1730612698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148016",
"telephone_number": "812-477-7246",
"fax_number": "812-477-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 WILLOW ST STE 3B",
"city": "VINCENNES",
"state": "IN",
"postal_code": "47591",
"telephone_number": "812-477-7246",
"fax_number": "812-477-7240"
}
],
"practiceLocations": [
{
"address_1": "545 Willow St",
"address_purpose": "LOCATION",
"city": "Vincennes",
"state": "IN",
"postal_code": "475911064",
"country_code": "US",
"telephone_number": "812-477-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADVANCED PAIN CARE CLINIC PSC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-07",
"last_updated": "2018-08-28",
"status": "A",
"authorized_official_last_name": "SANAPATI",
"authorized_official_first_name": "MAHENDRA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-214-4072",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.