COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY S.C. NPI 1770846776

NPI Information

NPI: 1770846776
Provider Name: COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY, S.C.
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
100 THEDA CLARK MEDICAL PLZ
SUITE 252
NEENAH, WI
ZIP 54956
Phone: (920) 733-7230
Get Directions

COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY, S.C. is an interventional pain medicine pain medicine in Neenah, WI. The provider is 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. COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY, S.C. NPI is 1770846776. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 THEDA CLARK MEDICAL PLZ
SUITE 252
NEENAH, WI
ZIP 54956-763
Phone: (920) 733-7230
Fax: (920) 729-0347

The provider's authorized official is Alexander E Yakovlev .
The authorized official title is President and has the following contact phone number (920) 733-7230.

The enumeration date for this NPI number is 6/25/2012 and was last updated on 1/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LP2900X	Anesthesiology	Pain Medicine	36140-20	WISCONSIN	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		36140-20	WISCONSIN	No
3	208VP0014X	Pain Medicine	Interventional Pain Medicine	36140-20	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	H38458	MEDICARE UPIN	WISCONSIN
2	6687320001	MEDICARE NSC	WISCONSIN
3	34086400	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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