The Pain Medicine & Rehabilitation Center, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

01050375A Issued in IN

Legal business name

THE PAIN MEDICINE & REHABILITATION CENTER, INC

Practice address

1425 Corporate Way
Seymour, IN 47274-3391

Phone

(812) 523-3700

Fax

(812) 524-2946

NPI assigned

Jan 29, 2008

Last updated

May 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Alexander, M.D.NPI 1508949827

Title

President

Phone

(812) 523-3700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 6

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.

• Anthony Alexander, M.D.

  • Interventional Pain Medicine Physician
  • Seymour, IN
  • NPI 1508949827
  Medicare reassignment NPD Authorized official
• Richard Joseph Bobay, ARNP-C

  • Family Nurse Practitioner
  • Jeffersonville, IN
  • NPI 1881732881
  NPD (past)
• Christen Rasharn Faush, FNP-C

  • Nurse Practitioner
  • Madison, AL
  • NPI 1104691310
  NPD (past)
• Carol Harris, MD

  • Interventional Pain Medicine Physician
  • Meridian, MS
  • NPI 1710935671
  NPD (past)
• Karen J Lewis, APRN

  • Adult Health Nurse Practitioner
  • Louisville, KY
  • NPI 1740504752
  NPD (past)
• Norman Eugene McCoomer, M.D.

  • Specialist
  • Madison, AL
  • NPI 1437268489
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1922285212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 926",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472740926",
            "telephone_number": "812-523-3700",
            "fax_number": "812-524-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 CORPORATE WAY",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743391",
            "telephone_number": "812-523-3700",
            "fax_number": "812-524-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN MEDICINE & REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-523-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01050375A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "D06394",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rikki Tarr
• Jacob Tatlock
• Rexanna Tatlock, AGPCNP-BC
• Kaitlyn E Taylor, FNP-C
• The Health and Hospital Corporation of Marion County (Seymour Crossing)
• Therapyworks Physical Therapy LLC
• Whitney Thoele, MS
• John Mark Thomas, DDS
• Ava Thompson, RBT
• Melissa A Thompson, PT

• Specialist in Seymour, IN
• Providers in Seymour, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.

Verify at the official NPI Registry.