Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1033116371
Pain Medicine (Anesthesiology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1802, East 10th Street, Jeffersonville, Clark County, Indiana, 47130, United States
JEFFERSONVILLE, IN 471306016
Phone: (812) 288-2488
Fax: (770) 573-9513
Type: Location
101, Market Street, Town Commons, Charlestown, Cecil County, Maryland, 21914, United States
CHARLESTOWN, IN 471119535
Phone: (812) 503-5100
Fax: (770) 573-9513
Type: Mailing
815 Short St
Charlestown, IN 471111241
Phone: (812) 503-5100
Fax: (770) 573-9513
Type: Location
1804 E 10th St
Jeffersonville, IN 471306016
Phone: (812) 288-2488
Fax: (770) 573-9513
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Psychiatry, Neurology | KY | |
| - | IN | |
| Neurology, Neuropsychiatry, General Practice, Neurology | IN | |
| P S Y C H I A T R Y | KY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| C H I R O P R A C T I C | IN |
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