Summit Pain Management
LBN: Racc Medical Associates Llc
Summit Pain Management is an health care organization with primary practice located at 1721 Magnavox Way , Fort Wayne IN 46804-1537. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI). Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty.
Racc Medical Associates Llc can be contacted via phone (260) 748-3650, or through Roth, Daniel C via phone (260) 748-3650.
Contact Information
Primary practice address
1721 Magnavox Way
Fort Wayne IN 46804-1537
Phone: (260) 748-3650
Fax: (260) 748-3651
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X |
Profile Details
NPI number | 1184976136 |
---|---|
LBN Legal business name | Racc Medical Associates Llc |
DBA Doing business as | Summit Pain Management |
Authorized official | Roth, Daniel C Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 15th, 2012 |
Last updated | Nov 7th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184976136 | NPPES |
Indiana | MEDICAID | 300038645 |
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