Organization
PAIN AND AGING MANAGEMENT LLC
Active
Other names
Wellspring Pain Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
SANDFORD MATTHEW SCHOCKET (CEO)
(512) 584-8404
Entity
Organization
Contact information
Practice address
2400 NORTHPARK DR STE 20, COLUMBUS, IN 47203-4467
(812) 376-0700
(812) 376-8625
Mailing address
7951 SHOAL CREEK BLVD STE 300, AUSTIN, TX 78757-7582
(512) 584-8404
(812) 376-8625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000366888
ANTHEM
—
05
—
201032950A
—
IN
01
—
226700
MEDICARE
IN
05
—
300058095
—
IN
05
—
300058096
—
IN
05
—
300058102
—
IN
05
—
300058106
—
IN
Enumeration date
10/20/2006
Last updated
05/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us