Organization Active NPI

Midwest Pain Clinic

  • Pain Clinic/Center
  • Michigan City, IN
National Provider Identifier
1962650218
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
036.066567 Issued in IN
Legal business name
MIDWEST PAIN CLINIC
Practice address
907 Washington St
Michigan City, IN 46360-3517
Phone
(219) 812-9158
Fax
(219) 873-9196
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Paul Madison, M.D.
Title
Pain Management Specialist
Phone
(219) 812-9158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 036.066567 IN Primary

Addresses

Primary practice location

907 Washington St
Michigan City, IN 46360-3517

Mailing address

907 Washington St
Michigan City, IN 46360-3517
Phone (219) 812-9158

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1962650218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 WASHINGTON ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603517",
            "telephone_number": "219-812-9158",
            "fax_number": "219-873-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 WASHINGTON ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603517",
            "telephone_number": "219-812-9158",
            "fax_number": "219-873-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PAIN MANAGEMENT SPECIALIST",
        "authorized_official_telephone_number": "219-812-9158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IN",
            "license": "036.066567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.