MEDICARE: CAPITOL PAIN INSTITUTE, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1710467287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITOL PAIN INSTITUTE, PA

Provider Business Mailing Address
First Line	:	7951 SHOAL CREEK BLVD STE 300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78757-7582
Country	:	US
Telephone Number	:	512-584-8404
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 DUTCHMANS PKWY STE 60
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3341
Country	:	US
Telephone Number	:	502-791-8700
Fax Number	:	502-742-8523

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. SANDFORD MATTHEW SCHOCKET
Credential	:	MD
Telephone Number	:	512-467-7246

Provider Enumeration Date	:	08/15/2018
Last Update Date	:	11/07/2024

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