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INTEGRATIVE PAIN MANAGEMENT SC
NPI 1124613732
Anesthesiology in De Pere, WI

Active since March 05, 2021CLIA 52D2090719 · Waiver
3108 MID VALLEY DR, DE PERE, WI 54115(920) 532-9117 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrative Pain Management Sc NPPES

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

INTEGRATIVE PAIN MANAGEMENT SC (NPI 1124613732) is a healthcare organization registered as an anesthesiology in De Pere, Wisconsin and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists John Joseph, Owner, as its authorized official.

NPPES Registry Identity

NPI1124613732
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameINTEGRATIVE PAIN MANAGEMENT SC
Location Address3108 MID VALLEY DRDe Pere, WI 54115-9436
Mailing Address3108 Mid Valley DrDe Pere, WI 54115-9436 · (920) 532-9117
Phone(920) 532-9117
Organization SubpartYesParent: Integrative Pain Management, Sc
Authorized OfficialJohn JosephOwner · (920) 532-9117
Enumeration DateMarch 5, 2021
NPPES CertifiedFebruary 15, 2021
✔ NPI 1124613732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3108 MID VALLEY DR, De Pere, WI 54115
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2090719

Integrative Pain Management · De Pere, WI
Active · expires Jan 28, 2027
CLIA Number52D2090719
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorDr. John Joseph
Laboratory Phone(920) 532-9117
Laboratory LocationIntegrative Pain Management3108 Mid Valley Rd, De Pere, WI 54115
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ORTHOPEDIC & SPINE THERAPY OF GREEN BAY SC
Physical Therapist
3108 MID VALLEY DR
DE PERE, WI 54115
Brown County (920) 968-0814
DR. KARL HUEBNER D.C.
Chiropractor
3108 MID VALLEY DR
DE PERE, WI 54115
Brown County (920) 515-0990
KAREN BURR NP
Nurse Practitioner
3108 MID VALLEY DR
DE PERE, WI 54115
Brown County (920) 532-9117
INTEGRATIVE PAIN MANAGEMENT SC
Anesthesiology
3108 MID VALLEY DR
DE PERE, WI 54115
Brown County (920) 532-9117

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 Integrative Pain Management Sc's NPI number?

The NPI number for Integrative Pain Management Sc is 1124613732. It was assigned to this organization in the NPPES registry on March 5, 2021.

Where is Integrative Pain Management Sc located?

Integrative Pain Management Sc is located at 3108 Mid Valley Dr, De Pere, WI 54115. The listed phone number is (920) 532-9117.

What is Integrative Pain Management Sc's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Does Integrative Pain Management Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2090719) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrative Pain Management Sc was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.