Indiana Pain and Wellness Center PC
NPI 1417630336ActiveOrganization· General Practice· Indianapolis, IN
General Practice in Indianapolis, Indiana, registered in NPPES in August 2023. The authorized official on file is Mary Jo Johnson, SC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417630336 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2023 |
| Last updated in NPPES | Aug 8, 2023 |
| Certified by provider | Aug 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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