MEMORIAL PAIN MANAGEMENT
NPI 1518302264
Nurse Practitioner - Adult Health in South Bend, IN
NPI Status: Active since May 08, 2013
Contact Information
621 MEMORIAL DR
SUITE 602
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-7413
Fax: (574) 647-2471
- Organization
- Nurse Practitioner
- Adult Health
About MEMORIAL PAIN MANAGEMENT
This page provides the complete NPI Profile along with additional information for Memorial Pain Management, a provider established in South Bend, Indiana operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1518302264 assigned on May 2013. The practitioner's primary taxonomy code is 363LA2200X with license number 71001587A (IN). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Memorial Pain Management. The authorized official of this NPI record is Jeffrey P. Costello (Cfo)
- NPI
- 1518302264
- Provider Legal Name
- BEACON MEDICAL GROUP, INC.
- Other Organization Name
- MEMORIAL PAIN MANAGEMENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 621 MEMORIAL DR SUITE 602 SOUTH BEND, IN 46601
- Location Phone
- (574) 647-7413
- Location Fax
- (574) 647-2471
- Mailing Address
- 710 N NILES AVE SOUTH BEND, IN 46617
- Mailing Phone
- (574) 647-1610
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2013
- Last Update Date
- 08-30-2016
- Code Navigator
A nurse practitioner (NP) like Memorial Pain Management is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 71001587A
- License State
- IN
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201164630A | MEDICAID (05) | IN | |
| 261970 | MEDICARE PIN (08) | IN |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 1 | 8 | 3 | 0 | 2 | 2 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 6 | 0 | 4 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 6 + 0 + 4 + 2 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1518302264 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003818212 | DR. JOHN L JENKINS M.D. Individual | Specialist | 621 MEMORIAL DR STE 502 SOUTH BEND, IN 46601 (574) 234-9001 |
| 1912988460 | DR. DAVID LEE CLAYTON M.D. Individual | Family Medicine | 621 MEMORIAL DR SUITE 624 SOUTH BEND, IN 46601 (574) 282-2708 |
| 1215914452 | GEORGE B FRIEND M.D. Individual | Surgery (Vascular Surgery) | 621 MEMORIAL DR SOUTH BEND, IN 46601 (574) 236-1888 |
| 1053398123 | EDWARD P DELLE DONNE MD Individual | Colon & Rectal Surgery | 621 MEMORIAL DR SOUTH BEND, IN 46601 (574) 236-1888 |
| 1285611442 | TIMOTHY W NOVEROSKE MD Individual | Surgery (Vascular Surgery) | 621 MEMORIAL DR SOUTH BEND, IN 46601 (574) 236-1888 |
| 1740267822 | GENERAL & VASCULAR SURGERY PC Organization | Surgery (Vascular Surgery) | 621 MEMORIAL DR SOUTH BEND, IN 46601 (574) 236-1888 |
| 1134106297 | MICHAEL C ROTKIS MD Individual | Surgery (Vascular Surgery) | 621 MEMORIAL DR SOUTH BEND, IN 46601 (574) 236-1888 |
| 1942246822 | OTORHINOLARYNGOLOGY, INC Organization | Specialist | 621 MEMORIAL DR SUITE 402 SOUTH BEND, IN 46601 (574) 232-4800 |
| 1083721310 | DR. THOMAS R GRUSZYNSKI MD Individual | Obstetrics & Gynecology | 621 MEMORIAL DR SUITE 616 SOUTH BEND, IN 46601 (574) 234-2128 |
| 1801983242 | STEPHEN EDWARD ZUCKER M.D. Individual | Specialist | 621 MEMORIAL DR SUITE 511 SOUTH BEND, IN 46601 (574) 232-3919 |
| 1346399656 | PLASTIC SURGERY CENTER, P.C. Organization | Clinic/Center (Ambulatory Surgical) | 621 MEMORIAL DR SUITE 511 SOUTH BEND, IN 46601 (574) 232-3919 |
| 1134262595 | NORTH CENTRAL NEUROLOGY, LLC Organization | Psychiatry & Neurology (Neurology) | 621 MEMORIAL DR SUITE 624 SOUTH BEND, IN 46601 (574) 288-0215 |
| 1255620985 | DAVID L. CLAYTON MD INC Organization | Family Medicine | 621 MEMORIAL DR SUITE 624 SOUTH BEND, IN 46601 (574) 282-2708 |
| 1073554994 | MEMORIAL HEALTH SYSTEM, INC. Organization | Internal Medicine (Cardiovascular Disease) | 621 MEMORIAL DR SUITE 608 SOUTH BEND, IN 46601 (574) 232-3522 |
| 1508191768 | ALLIED PHYSICIANS OF MICHIANA, LLC Organization | Surgery | 621 MEMORIAL DR SUITE 302 SOUTH BEND, IN 46601 (574) 236-1888 |
| 1780679225 | GERARD I DUPRAT MD Individual | Radiology (Vascular & Interventional Radiology) | 621 MEMORIAL DR SUITE 312 SOUTH BEND, IN 46601 (574) 647-5200 |
| 1841434354 | KELLY ELIZABETH MORTELL M.D. Individual | Radiology (Vascular & Interventional Radiology) | 621 MEMORIAL DR STE 312 SOUTH BEND, IN 46601 (574) 647-5200 |
| 1710954102 | MERCEDES DEL CARMEN MORAN CNM Individual | Advanced Practice Midwife | 621 MEMORIAL DR STE 403 SOUTH BEND, IN 46601 (574) 647-1405 |
| 1447783188 | MRS. KHONNAH WEITHERS FNP-BC Individual | Nurse Practitioner (Family) | 621 MEMORIAL DR SUITE 512 SOUTH BEND, IN 46601 (574) 246-9350 |
| 1912311887 | DREW SCHMUCKER MD Individual | Family Medicine | 621 MEMORIAL DR SOUTH BEND, IN 46601 (574) 400-4550 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518302264, enumerated in the NPI registry as an "organization" on May 08, 2013
The provider is located at 621 Memorial Dr Suite 602 South Bend, In 46601 and the phone number is (574) 647-7413
This medical organization specializes in Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 08, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.