Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Indiana Pain and Wellness Center PC

Organization General Practice Physician · NPI 1417630336

Indiana Pain and Wellness Center PC provides General Practice Physician services 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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