Organization Active NPI

Elite Medical Indiana, LLC

  • Interventional Pain Medicine Physician
  • Lawrenceburg, IN
National Provider Identifier
1891401378
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ELITE MEDICAL INDIANA, LLC
Practice address
401 W Eads Pkwy Ste 320
Lawrenceburg, IN 47025-1374
Phone
(812) 539-2900
NPI assigned
Jan 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Benjamin Kasle
Title
Operator
Phone
(812) 539-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

401 W Eads Pkwy Ste 320
Lawrenceburg, IN 47025-1374

Mailing address

401 W Eads Pkwy Ste 320
Lawrenceburg, IN 47025-1374
Phone (812) 539-2900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1891401378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W EADS PKWY STE 320",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251374",
            "telephone_number": "812-539-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W EADS PKWY STE 320",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251374",
            "telephone_number": "812-539-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "KASLE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "812-539-2900"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.