MEDICARE: MIDWEST PAIN CLINIC

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	261QP3300X	Pain Clinic/Center	036.066567	IN

General Provider Information

NPI Number	:	1962650218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST PAIN CLINIC

Provider Business Mailing Address
First Line	:	907 WASHINGTON ST
Second Line	:
City	:	MICHIGAN CITY
State	:	IN
Zip	:	46360-3517
Country	:	US
Telephone Number	:	219-812-9158
Fax Number	:	219-873-9196

Provider Business Practice Location Address
First Line	:	907 WASHINGTON ST
Second Line	:
City	:	MICHIGAN CITY
State	:	IN
Zip	:	46360-3517
Country	:	US
Telephone Number	:	219-812-9158
Fax Number	:	219-873-9196

Authorized Official
Title or Position	:	PAIN MANAGEMENT SPECIALIST
Name	:	DR. PAUL MADISON
Credential	:	M.D.
Telephone Number	:	219-812-9158

Provider Enumeration Date	:	08/28/2008
Last Update Date	:	08/28/2008

Similar Medicare Providers

1003338898 — MR. JOSHUA PAUL AHLSTROM CPO
Practice Location Address:

1407 E MICHIGAN AVE
JACKSON, MI
49202-3517

Practice Phone: 517-784-1142
Practice Fax:

1184149551 — DAVID TREVISAN MSOP, CO
Practice Location Address:

1407 E MICHIGAN AVE
JACKSON, MI
49202-3517

Practice Phone: 517-784-1142
Practice Fax:

1528643723 — JACKSON URGENT CARE PLLC
Practice Location Address:

1407 E MICHIGAN AVE
JACKSON, MI
49202-3517

Practice Phone: 313-377-5758
Practice Fax:

1730812371 — SHELBY SIMMONS NP
Practice Location Address:

1407 E MICHIGAN AVE
JACKSON, MI
49202-3517

Practice Phone: 517-888-6348
Practice Fax:

1124145982 — MRS. KRISTEN NICOLE BOSSE MMS, OTRL
Practice Location Address:

4978 SW 90TH TER
COOPER CITY, FL
33328-3517

Practice Phone: 954-434-4276
Practice Fax: 954-252-8459

1518105089 — DR. ELEANOR MADRID LUMAHAN DDS
Practice Location Address:

1127 HIGHLAND AVE
NATIONAL CITY, CA
91950-3517

Practice Phone: 619-336-6063
Practice Fax: 619-336-6066

Directions to “MIDWEST PAIN CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.