Organization Active NPI

Ambulatory Surgery Center for Pain Relief LLC

  • Ambulatory Surgical Clinic/Center
  • Evansville, IN
National Provider Identifier
1871751024
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AMBULATORY SURGERY CENTER FOR PAIN RELIEF LLC
Practice address
2330 Lynch Rd
Suite 100B
Evansville, IN 47711-2998
Phone
(812) 867-9800
Fax
(812) 867-4720
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Steven A Rupert, D.O.NPI 1295732055
Title
Owner
Phone
(812) 867-9800

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X IN Primary

Addresses

Primary practice location

2330 Lynch Rd
Suite 100B
Evansville, IN 47711-2998

Mailing address

2330 Lynch Rd
Suite 100B
Evansville, IN 47711-2998
Phone (812) 867-9800

Other identifiers 2

IdentifierTypeStateIssuer
200978620AMedicaidIN
7100314120MedicaidKY

National Provider Directory

National Provider Directory

Locations

2330 Lynch Rd
Ste 1003
Evansville, IN 47711
Phone (812) 867-9800

2330 Lynch Rd
Ste 100B
Evansville, IN 47711
Phone (812) 867-9800

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": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1871751024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 LYNCH RD",
            "address_2": "SUITE 100B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477112998",
            "telephone_number": "812-867-9800",
            "fax_number": "812-867-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 LYNCH RD",
            "address_2": "SUITE 100B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477112998",
            "telephone_number": "812-867-9800",
            "fax_number": "812-867-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGERY CENTER FOR PAIN RELIEF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "RUPERT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-867-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200978620A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100314120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.