Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Indiana Pain and Wellness Center PC

Organization General Practice Physician · NPI 1417630336

Indiana Pain and Wellness Center PC is a General Practice Physician in Indianapolis, Indiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1305 W 96th St Ste C
Indianapolis, IN 46260-1193
Phone: (317) 580-9867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1417630336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Jo Johnson — Owner · (317) 580-9867
NPI enumeratedAugust 8, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address1305 W 96th St Ste C, Indianapolis, IN 46260-1193

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