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JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
NPI 1811262728
Physical Medicine & Rehabilitation - Pain Medicine in Wood River, IL

Active since March 12, 2012
1702 VAUGHN RD, WOOD RIVER, IL 62095(618) 259-3321 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerseyville Pain Management Center, S.c. NPPES

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

JERSEYVILLE PAIN MANAGEMENT CENTER, S.C. (NPI 1811262728) is a healthcare organization registered as a pain medicine in Wood River, Illinois and active in the NPI registry since March 2012. The organization lists James A Briggs, President, as its authorized official.

NPPES Registry Identity

NPI1811262728
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameJERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
Location Address1702 VAUGHN RDWood River, IL 62095-1898
Mailing AddressPo Box 649Wood River, IL 62095-0649 · (618) 259-3321
Phone(618) 259-3321
Organization SubpartNo
Authorized OfficialJames A BriggsPresident · (618) 259-3321
Enumeration DateMarch 12, 2012
✔ NPI 1811262728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in IL · 36048379
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedChiropractorTaxonomy 111N00000X · License 038009545 (IL), 038004303 (IL)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 36048379 (IL)
Also ListedPhysical TherapistTaxonomy 225100000X · License 70004750 (IL)
1702 VAUGHN RD, Wood River, IL 62095
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Other Identifiers 7

Other224252Ghp
Other04232007IL · Bcbs Illinois
Medicare UPINU89003IL
Other210609IL · Medicare Illinois
Other5933000001IL · Medicare P-tan
Other477779IL · Healthlink
Medicaid038009545IL

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 5

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

JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
Chiropractor
1702 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-3321
JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
Non-Pharmacy Dispensing Site
1702 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-3321
DR. WAK S CHIA M.D
Pediatrics
1702 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-5100
MRS. ERIN L MICENHEIMER PA-C
Physician Assistant (Medical)
1702 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-3321
DR. AARON JUSTIN MITCHELL D.C.
Chiropractor
1702 VAUGHN RD, SUITE 4
WOOD RIVER, IL 62095
Madison County (618) 259-3321

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 Jerseyville Pain Management Center, S.C.'s NPI number?

The NPI number for Jerseyville Pain Management Center, S.C. is 1811262728. It was assigned to this organization in the NPPES registry on March 12, 2012.

Where is Jerseyville Pain Management Center, S.C. located?

Jerseyville Pain Management Center, S.C. is located at 1702 Vaughn Rd, Wood River, IL 62095. The listed phone number is (618) 259-3321.

What is Jerseyville Pain Management Center, S.C.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Jerseyville Pain Management Center, S.C. was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.