Dubuque Pain Clinic
NPI 1467863472ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Dubuque, IA
Pain Medicine, Interventional Pain Medicine in Dubuque, Iowa, registered in NPPES in May 2014. The authorized official on file is Ivan Fomitchev, MD, President.
Overview
| NPI | 1467863472 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2014 |
| Last updated in NPPES | May 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | 34875 | IA |
| Pain Medicine, Pain Medicine | 208VP0000X | 34875 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other interventional pain physicians in Dubuque
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