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DUBUQUE PAIN CLINIC
NPI 1467863472
Pain Medicine - Interventional Pain Medicine in Dubuque, IA

Active since May 13, 2014
250 MERCY DR, DUBUQUE, IA 52001(563) 589-8665 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dubuque Pain Clinic NPPES

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

DUBUQUE PAIN CLINIC (NPI 1467863472) is a healthcare organization registered as an interventional pain medicine in Dubuque, Iowa and active in the NPI registry since May 2014. The organization lists Ivan Fomitchev, President, as its authorized official.

NPPES Registry Identity

NPI1467863472
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameDUBUQUE PAIN CLINIC
Location Address250 MERCY DRDubuque, IA 52001-7320
Mailing Address2260 Samantha DrDubuque, IA 52002-0485
Phone(563) 589-8665
Organization SubpartNo
Authorized OfficialIvan FomitchevPresident · (563) 564-1283
Enumeration DateMay 13, 2014
✔ NPI 1467863472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in IA · 34875
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 ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 34875 (IA)
250 MERCY DR, Dubuque, IA 52001
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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

Other Providers at the Same Location NPPES 20

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

ANDREW NADERMANN
Registered Nurse (Psychiatric/Mental Health)
250 MERCY DR
DUBUQUE, IA 52001
Dubuque County (563) 589-8000
MERCY RADIOLOGISTS OF DUBUQUE, P.C.
Radiology (Diagnostic Radiology)
250 MERCY DR
DUBUQUE, IA 52001
Dubuque County (563) 589-8796
JOHN DANIEL ENGELKEN M.D.
Radiology (Diagnostic Radiology)
250 MERCY DR
DUBUQUE, IA 52001
Dubuque County (563) 589-8796
MISS ANNE M GLASER ARNP
Nurse Practitioner (Women's Health)
250 MERCY DR
DUBUQUE, IA 52001
Dubuque County (563) 589-8595
MICHAEL COLEMAN
Pharmacist
250 MERCY DR
DUBUQUE, IA 52001
Dubuque County (563) 589-8902
SABRINA VONDERHAAR LMHC, IADC
Counselor (Mental Health)
250 MERCY DR
DUBUQUE, IA 52001
Dubuque County (563) 589-8087
JILL BALLANTINE AGACNP
Nurse Practitioner (Gerontology)
250 MERCY DR
DUBUQUE, IA 52001
Dubuque County (563) 584-3226
EMMA SUE PIEHL RPH, PHARMD
Pharmacist
250 MERCY DR
DUBUQUE, IA 52001
Dubuque County (563) 589-7390

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 Dubuque Pain Clinic's NPI number?

The NPI number for Dubuque Pain Clinic is 1467863472. It was assigned to this organization in the NPPES registry on May 13, 2014.

Where is Dubuque Pain Clinic located?

Dubuque Pain Clinic is located at 250 Mercy Dr, Dubuque, IA 52001. The listed phone number is (563) 589-8665.

What is Dubuque Pain Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Dubuque Pain Clinic was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.