Centers for Pain Management LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

CENTERS FOR PAIN MANAGEMENT LLC

Practice address

1101 Glendale Blvd
Valparaiso, IN 46383-3767

Phone

(219) 476-7246

NPI assigned

Apr 9, 2010

Organization subpart

No

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

Authorized official

Name

G Thor Thordarson

Title

Ceo

Phone

(219) 326-2555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1972829315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833767",
            "telephone_number": "219-476-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833767",
            "telephone_number": "219-476-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "THORDARSON",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "THOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-326-2555"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.