Active NPI
Cutting Edge Integrative Pain Centers LLC
- Internal Medicine Physician
- Elkhart, IN
National Provider Identifier
1790215168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CUTTING EDGE INTEGRATIVE PAIN CENTERS LLC
- Practice address
- 242 Waterfall Dr Ste B
Elkhart, IN 46516 - Phone
- (574) 389-7737
- Fax
- (574) 389-3196
- NPI assigned
- Jun 18, 2017
- 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
- Orlando Landrum, MD
- Title
- Owner
- Phone
- (574) 389-7737
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
242 Waterfall Dr Ste B
Elkhart, IN 46516
Mailing address
242 Waterfall Dr Ste B
Elkhart, IN 46516-3647
Phone (574) 389-7737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
242 Waterfall Dr
Ste B
Elkhart, IN 46516
Phone (574) 389-7737
3060 Windsor Ct
Elkhart, IN 46514
Phone (574) 389-7737
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Elkhart, IN
- NPI 1932159910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526947200000",
"number": "1790215168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 WATERFALL DR STE B",
"city": "ELKHART",
"state": "IN",
"postal_code": "465163647",
"telephone_number": "574-389-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 WATERFALL DR STE B",
"city": "ELKHART",
"state": "IN",
"postal_code": "46516",
"telephone_number": "574-389-7737",
"fax_number": "574-389-3196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUTTING EDGE INTEGRATIVE PAIN CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-18",
"last_updated": "2018-05-22",
"status": "A",
"authorized_official_last_name": "LANDRUM",
"authorized_official_first_name": "ORLANDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-389-7737",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.