Advanced Pain Management of Elwood
Organization Active NPI Multi-Specialty Clinic/Center · Elwood, IN
NPI 1982240917 · NPPES record last updated Jul 12, 2022
Key facts
- NPI
- 1982240917
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- ADVANCED PAIN MANAGEMENT OF ELWOOD
- Practice address
- 7408 W State Road 28
Elwood, IN 46036-8600 - Phone
- (765) 557-8569
- Fax
- (765) 557-8635
- NPI assigned
- Nov 25, 2019
- Organization subpart
- No
Authorized official
- Name
- David Dunham, NP, DPT, DC
- Title
- Owner
- Phone
- (765) 557-8569
Practitioners 6
-
David James Dunham, DC,DPT,RN
-
Chad Hemmer, MD
-
David Allen Lushinsky, D.C.
-
Kashana Ruth, FNP-C
-
Daniel John Bartley, D.C.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2055704 | Advanced Pain Management of Elwood | Compliance | Mar 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200225001418 | IN | Part B Supplier - Clinic/Group Practice | 2062849474 |
Receives reassigned benefits from 6 practitioners Practice locations: Anderson, IN; Westfield, IN |
National Provider Directory
Locations
2976 N Scatterfield Rd
Ste 111
Anderson, IN 46012
Phone (765) 400-4662
7408 W State Road 28
Ste 4B
Elwood, IN 46036
Phone (765) 557-8569
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician |
208VP0014X | |||
| Physical Therapist |
225100000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes | ||
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
7408 W State Road 28
Elwood, IN 46036-8600
Mailing address
7408 W State Road 28
Elwood, IN 46036-8600
Phone (765) 557-8569
Other practice location 1
2976 N Scatterfield Rd Ste 111
Anderson, IN 46012-1586
Phone (765) 557-8569
Other providers in Elwood, IN
- Access Behavioral Health LLC
- Advanced Healthcare Associates LLP
- Audrey R Alcala
- Katie Allen
- Bryan K Amador
- American Health Network of Indiana, LLC
- Anchor of Life Mental Health Services, LLC
All providers in Elwood, IN · Multi-Specialty Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.