MEDICAL PAIN AND SPINE CARE OF INDIANA – NPI #1568771095
Clinic/Center
MEDICAL PAIN AND SPINE CARE OF INDIANA is an AHC clinic located in NOBLESVILLE, IN. NPPES has assigned the NPI number 1568771095 to MEDICAL PAIN AND SPINE CARE OF INDIANA on October 01, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICAL PAIN AND SPINE CARE OF INDIANA” is a dba name, the actual legal business name for this organization is KOKOMO PAIN MANAGEMENT, LLC. The primary taxonomy selected by this provider is 261QP3300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Pain
The NPI profile was last updated on Aug 23, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL PAIN AND SPINE CARE OF INDIANA below.
NPI Profile for
KOKOMO PAIN MANAGEMENT, LLC
(more than 15 years ago)
NOBLESVILLE, IN 46062-8334 Phone: (317) 776-7028 Fax: (317) 773-7910
PRESIDENT
Phone: (317) 776-7028
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for MEDICAL PAIN AND SPINE CARE OF INDIANA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | IN | 200998560 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QP3300X - Clinic/Center / Pain (Primary) |
IN | 02002790A |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.