INTERVENTIONAL PAIN CONSULTANTS LLC
NPI 1225522063
Pain Medicine - Interventional Pain Medicine in Alton, IL

Active since June 15, 2018CLIA 14D1063745 · Waiver
3 PROFESSIONAL DR STE B, ALTON, IL 62002(618) 465-7177(618) 465-7176 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 21, 2020, Aug 2, 2018, Jun 15, 2018 (3 updates tracked since 2018).

About Interventional Pain Consultants Llc NPPES

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

INTERVENTIONAL PAIN CONSULTANTS LLC (NPI 1225522063) is a healthcare organization registered as an interventional pain medicine in Alton, Illinois and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through January 21, 2027, maintains a secondary practice location in Swansea, and lists Wynndel Buenger, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1225522063
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINTERVENTIONAL PAIN CONSULTANTS LLC
Location Address3 PROFESSIONAL DR STE BAlton, IL 62002-5067
Mailing Address3 Professional Dr Ste BAlton, IL 62002-5067 · (618) 465-7177 · Fax (618) 465-7176
Fax(618) 465-7176
Organization SubpartNo
Authorized OfficialWynndel BuengerMedical Director · (618) 465-7177
Enumeration DateJune 15, 2018
Last NPPES UpdateJanuary 21, 20203 updates tracked since enumeration
NPI 1225522063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
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.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3 PROFESSIONAL DR STE B, Alton, IL 62002

Secondary Practice Location 1

Location 14972 Benchmark Centre Dr Ste 400Swansea, IL 62226-2070 · Phone (618) 726-2500 · Fax (618) 622-0909

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 MULTIPLE SINGLE 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 14D1063745

Interventional Pain Consultants · Alton, IL
Active · expires Jan 21, 2027
CLIA Number14D1063745
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorWynndel T. Buenger
Laboratory Phone(618) 465-7177
Laboratory LocationInterventional Pain Consultants3 Professional Drive - Ste B, Alton, IL 62002
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
3 PROFESSIONAL DR STE B
ALTON, IL 62002
Pain Medicine (Pain Medicine)
3 PROFESSIONAL DR STE B
ALTON, IL 62002
Nurse Practitioner (Family)
3 PROFESSIONAL DR STE B
ALTON, IL 62002

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 Interventional Pain Consultants LLC's NPI number?

The NPI number for Interventional Pain Consultants LLC is 1225522063. It was assigned to this organization in the NPPES registry on June 15, 2018.

Where is Interventional Pain Consultants LLC located?

Interventional Pain Consultants LLC is located at 3 Professional Dr Ste B, Alton, IL 62002. The listed phone number is (618) 465-7177.

What is Interventional Pain Consultants LLC's specialty?

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

Does Interventional Pain Consultants LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1063745) is associated with this NPI, valid through January 21, 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 Interventional Pain Consultants LLC was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.