INNOVATIVE PAIN CENTER LLC
NPI 1003851163
Pain Medicine - Interventional Pain Medicine in Watertown, SD

Active since June 20, 2006
1512 4TH ST NE, WATERTOWN, SD 57201(605) 884-0100 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Innovative Pain Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE PAIN CENTER LLC (NPI 1003851163) is a healthcare organization registered as an interventional pain medicine in Watertown, South Dakota and active in the NPI registry since June 2006. The organization lists Patrick L Retterath, Provider, as its authorized official.

NPPES Registry Identity

NPI1003851163
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINNOVATIVE PAIN CENTER LLC
Location Address1512 4TH ST NEWatertown, SD 57201-6824
Mailing Address1201 Mickelson Dr Ste 2Watertown, SD 57201-7253 · (605) 882-0432 · Fax (605) 882-0978
Organization SubpartNo
Authorized OfficialPatrick L RetterathProvider · (605) 884-0100
Enumeration DateJune 20, 2006
Last NPPES UpdateDecember 22, 2010
NPI 1003851163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in SD · 0425
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
1512 4TH ST NE, Watertown, SD 57201

Other Identifiers 7

Medicare ID-Type UnspecifiedC03455MN · Group
Medicare NSC6323830001SD
Other73M96INMN · Bcbs
Medicaid892980000MN
Other4995163SD · Bcbs
Medicare ID-Type UnspecifiedDC7594SD · Railroad
Medicare PINS41717SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1512 4TH ST NE
WATERTOWN, SD 57201
Clinic/Center (Ambulatory Surgical)
1512 4TH ST NE
WATERTOWN, SD 57201
Clinic/Center (Pain)
1512 4TH ST NE
WATERTOWN, SD 57201
Anesthesiology (Pain Medicine)
1512 4TH ST NE
WATERTOWN, SD 57201
Pain Medicine (Interventional Pain Medicine)
1512 4TH ST NE
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
1512 4TH ST NE
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
1512 4TH ST NE
WATERTOWN, SD 57201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Pain Center LLC's NPI number?

The NPI number for Innovative Pain Center LLC is 1003851163. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Innovative Pain Center LLC located?

Innovative Pain Center LLC is located at 1512 4th St NE, Watertown, SD 57201. The listed phone number is (605) 884-0100.

What is Innovative Pain Center LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

What insurance does Innovative Pain Center LLC accept?

Health plans from Sanford Health Plan list Innovative Pain Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Pain Center LLC was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.