Organization
OPIOID MANAGEMENT LLC
Active
Other names
Opioid Management Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON FU FENG (OWNER)
(317) 560-4300
Entity
Organization
Contact information
Practice address
821 N STATE ROAD 135, GREENWOOD, IN 46142-1314
(317) 560-4300
(317) 530-9084
Mailing address
821 N STATE ROAD 135, GREENWOOD, IN 46142-1314
(317) 560-4300
(317) 530-9084
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201359800A
—
IN
Enumeration date
04/07/2016
Last updated
12/31/2024
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