ARCHANA WAGLE M D A PROFESSIONAL CORPORATION – NPI #1720303605
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.
ARCHANA WAGLE M D A PROFESSIONAL CORPORATION is a provider located in MOLINE, IL. NPPES has assigned the NPI number 1720303605 to ARCHANA WAGLE M D A PROFESSIONAL CORPORATION on April 02, 2010. 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
The NPI profile was previously updated about 16 years ago on Jul 15, 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 ARCHANA WAGLE M D A PROFESSIONAL CORPORATION below.
NPI Profile for
ARCHANA WAGLE M D A PROFESSIONAL CORPORATION
(more than 16 years ago)
MOLINE, IL 61265-6892 Phone: (309) 779-5000 Fax:
LAKE BLUFF, IL 60044-2203 Phone: (847) 615-2200 Fax: (847) 615-2858
OWNER
Phone: (847) 615-2200
Identifiers for ARCHANA WAGLE M D A PROFESSIONAL CORPORATION
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 | IL | 036100676 |
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) |
IL | 036100676 |
| 207L00000X - Anesthesiology |
IL | 036100676 |
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.