Organization Active NPI

Horizon Interventional Pain Physicians, SC

  • Pain Medicine (Anesthesiology) Physician
  • Oak Creek, WI
National Provider Identifier
1861688418
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
HORIZON INTERVENTIONAL PAIN PHYSICIANS, SC
Practice address
7071 S 13TH St
Suite # 102
Oak Creek, WI 53154-1466
Phone
(414) 600-1134
Fax
(414) 455-4494
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Saleem A Awan, MD
Title
Owner
Phone
(414) 600-1134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

7071 S 13TH St
Suite # 102
Oak Creek, WI 53154-1466

Mailing address

7071 S 13TH St
Suite 102
Oak Creek, WI 53154-1466
Phone (414) 600-1134

Other identifiers 1

IdentifierTypeStateIssuer
34135500MedicaidWI

National Provider Directory

National Provider Directory

Locations

7071 S 13th St
Ste 102
Oak Creek, WI 53154
Phone (414) 246-2151

10945 N Port Washington Rd
Thiensville, WI 53092
Phone (262) 241-9932

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1861688418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 S 13TH ST",
            "address_2": "SUITE 102",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541466",
            "telephone_number": "414-600-1134",
            "fax_number": "414-455-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 S 13TH ST",
            "address_2": "SUITE # 102",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541466",
            "telephone_number": "414-600-1134",
            "fax_number": "414-455-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON INTERVENTIONAL PAIN PHYSICIANS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "AWAN",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-600-1134",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34135500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.