Organization
COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY, SC
Active
Organization
COMPREHENSIVE PAIN MANAGEMENT OF THE FOX VALLEY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER E YAKOVLEV MD (OWNER/PRESIDENT)
(920) 733-7230
Entity
Organization
Contact information
Practice address
820 E GRANT ST, SUITE 335, APPLETON, WI 54911-3490
(920) 733-7230
Mailing address
100 THEDA CLARK MEDICAL PLZ, SUITE 252, NEENAH, WI 54956-2763
(920) 733-7230
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
36140-20
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
36140-20
WI
332B00000X
Durable Medical Equipment & Medical Supplies
36140-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34086400
—
WI
Enumeration date
12/26/2006
Last updated
01/24/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up