Provider Demographics
NPI:1184892234
Name:ADVANCED PAIN MANAGEMENT OF CENTRAL INDIANA, PC
Entity type:Organization
Organization Name:ADVANCED PAIN MANAGEMENT OF CENTRAL INDIANA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRANIAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-572-2240
Mailing Address - Street 1:PO BOX 3052
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-3052
Mailing Address - Country:US
Mailing Address - Phone:317-614-9850
Mailing Address - Fax:800-731-0751
Practice Address - Street 1:10412 ALLISONVILLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2052
Practice Address - Country:US
Practice Address - Phone:317-572-2240
Practice Address - Fax:317-572-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN5004994A207LP2900X
IN50004994A208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200894510AMedicaid
6230820001Medicare NSC
IN256070Medicare PIN