Pain Care Surgery, Pc in Marion - Ambulatory Surgical
Pain Care Surgery, Pc - NPI 1184690570
Pain Care Surgery, Pc is a Ambulatory Surgical in Marion, Illinois. Pain Care Surgery, Pc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Pain Care Surgery, Pc is 1184690570. The last update date is 2011-10-05.
Pain Care Surgery, Pc's current location address is 108 Airway Dr, Marion, Illinois. You can contact this provider via phone number 6189977820 and fax number 6189976721. The mailing address for Pain Care Surgery, Pc is 108 Airway Dr, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pain Care Surgery, Pc |
|---|---|
| Address | 108 Airway Dr, Marion, Illinois |
| Phone Number | 6189977820 |
| Fax Number | 6189976721 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Manchikanti Laxmaiah |
| Credentials | M.D. |
| Telephone Number | 6189977820 |
NPI Number Detail
| NPI Number | 1184690570 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2011-10-05 |
Provider Mailing Address Detail
| Address | 108 Airway Dr |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629595841 |
| Phone Number | 6189977820 |
| Fax Number | 6189976721 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 7002900 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100812 | IL | HEALTH ALLIANCE | |
| BC#50386 | IL | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pain Care Surgery, Pc by the Centers for Medicare & Medicaid Services?
The Pain Care Surgery, Pc has been issued the NPI (National Provider Identifier) 1184690570 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Pain Care Surgery, Pc's facilities are geographically located?
The facilities of Pain Care Surgery, Pc are physically situated at the following location: 108 Airway Dr, Marion, IL, 629595841.
What is the area of specialization for Pain Care Surgery, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pain Care Surgery, Pc is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184690570 to Pain Care Surgery, Pc?
The Centers for Medicare & Medicaid Services assigned the 1184690570 to Pain Care Surgery, Pc on 2006-02-24.
As of what date were the details related to Pain Care Surgery, Pc most recently updated or revised?
The information pertaining to Pain Care Surgery, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-05.