DUBUQUE PAIN CLINIC – NPI #1467863472
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.

Health Care Provider Taxonomy Code for Pain Medicine

DUBUQUE PAIN CLINIC is a provider located in DUBUQUE, IA. NPPES has assigned the NPI number 1467863472 to DUBUQUE PAIN CLINIC on May 13, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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

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 DUBUQUE PAIN CLINIC below.

NPI Profile for
DUBUQUE PAIN CLINIC

NPI Number
1467863472
Enumeration Date

(more than 12 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
DUBUQUE PAIN CLINIC
Primary location
250 MERCY DR
DUBUQUE, IA 52001-7320
Phone: (563) 589-8665 Fax:
Mailing address
2260 SAMANTHA DR
DUBUQUE, IA 52002-0485
Phone: Fax:
Organization Subpart
No
Authorized Official
IVAN FOMITCHEV
PRESIDENT
Phone: (563) 564-1283
Updated
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)		 IA 34875
208VP0000X
- Pain Medicine / Pain Medicine		 IA 34875

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.