Organization
MIDWEST PAIN MANAGEMENT CENTERS,LLC
Active
Other names
Midwest Interventional Spine Specialists,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SANDFORD MATTHEW SCHOCKET MD (CEO)
(512) 584-8404
Entity
Organization
Contact information
Practice address
8840 CALUMET AVE STE 103, MUNSTER, IN 46321-2546
(219) 836-7246
(219) 836-6454
Mailing address
7951 SHOAL CREEK BLVD STE 300, AUSTIN, TX 78757-7582
(512) 584-8404
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
IN
208VP0014X
Interventional Pain Medicine Physician
—
—
261QP3300X
Pain Clinic/Center
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095110A
—
IN
01
—
90001076
BCBS OF ILLINOIS
IL
01
—
CE8846
RAILROAD MEDICARE
GA
Enumeration date
07/14/2005
Last updated
02/25/2026
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