Pain Care Specialists, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN CARE SPECIALISTS, LLC

Practice address

3645 Ridge Mill Dr
Hilliard, OH 43026-7752

Phone

(614) 777-5860

Fax

(614) 777-5777

NPI assigned

Aug 9, 2006

Last updated

May 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Constance L Redman

Title

Practice Manager

Phone

(614) 777-5860

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1003827940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 RIDGE MILL DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267752",
            "telephone_number": "614-777-5860",
            "fax_number": "614-777-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 RIDGE MILL DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267752",
            "telephone_number": "614-777-5860",
            "fax_number": "614-777-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "614-777-5860"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2540441",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.