Iowa Illinois Pain Consultants

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

IOWA ILLINOIS PAIN CONSULTANTS

Practice address

3385 Dexter CT Ste 300
Davenport, IA 52807-3471

Phone

(563) 424-0512

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Miller, M.DNPI 1265439947

Title

President

Phone

(563) 424-0512

Specialties & licenses 1

Addresses

Tax ID family

Iowa Illinois Pain Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Iowa Illinois Pain Consultants PC

  • Pain Clinic/Center
  • Geneseo, IL
  • NPI 1053787333
  NPD tax ID

Practitioners 1

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

• Timothy J. Miller, M.D.

  • Pain Medicine Physician
  • Davenport, IA
  • NPI 1265439947
  NPD (past) Authorized official

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1922475706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450689",
            "telephone_number": "563-324-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT STE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073471",
            "telephone_number": "563-424-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA ILLINOIS PAIN CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-424-0512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iowa CVS Pharmacy LLC
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• Iowa Dental Health Professionals, P.C.
• Iowa Dental Health Professionals, P.C.
• Iowa Hearing Associates LLC
• Iowa Illinois Pain Consultants P.C.
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Eyecare Group, P.C.
• Iowa Plastic Surgery Center LC
• Iowa Plastic Surgery, PC

• Pain Clinic/Center in Davenport, IA
• Providers in Davenport, IA by specialty
• Pain Clinic/Center in Iowa

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