INNOVATIVE PAIN CENTER LLC – NPI #1003851163
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

INNOVATIVE PAIN CENTER LLC is a provider located in WATERTOWN, SD. NPPES has assigned the NPI number 1003851163 to INNOVATIVE PAIN CENTER LLC on June 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 15 years ago on Dec 22, 2010. 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 INNOVATIVE PAIN CENTER LLC below.

NPI Profile for
INNOVATIVE PAIN CENTER LLC

NPI Number
1003851163
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INNOVATIVE PAIN CENTER LLC
Primary location
1512 4TH ST NE
WATERTOWN, SD 57201-6824
Phone: (605) 884-0100 Fax:
Mailing address
1201 MICKELSON DR STE 2
WATERTOWN, SD 57201-7253
Phone: (605) 882-0432 Fax: (605) 882-0978
Organization Subpart
No
Authorized Official
PATRICK RETTERATH
PROVIDER
Phone: (605) 884-0100
Updated
Identifiers

Identifiers for INNOVATIVE PAIN CENTER LLC

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.

DescriptionIssuerStateIdentifier
OTHERBCBSMN73M96IN
OTHERBCBSSD4995163
MEDICAIDMN892980000
Taxonomy Code(s)

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
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
SD 0425

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.