Dublin Pain Clinic LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

35.080772 Issued in OH

Legal business name

DUBLIN PAIN CLINIC LLC

Practice address

440 Industrial Mile Rd
Columbus, OH 43228-2411

Phone

(614) 851-1400

Fax

(614) 851-1444

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Saud Siddiqui, MDNPI 1578641916

Title

Physician/Owner

Phone

(614) 851-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saud Siddiqui, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Columbus, OH
  • NPI 1578641916
  Medicare reassignment Care Compare group NPD Authorized official
• John E. Minor, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Utica, NY
  • NPI 1629228010

  OH

  Medicare reassignment Care Compare group NPD
• Patricia R Smiley, CRNA

  • Certified Registered Nurse Anesthetist
  • Lima, OH
  • NPI 1215087960
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1013103019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932606",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930014",
            "telephone_number": "614-851-1400",
            "fax_number": "614-851-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 INDUSTRIAL MILE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282411",
            "telephone_number": "614-851-1400",
            "fax_number": "614-851-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SAUD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "614-851-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35.080772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2637776",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Dubin, LISW-S
• Angela Sue Dubis-Bohn, M.A., CCC/SLP, BCS-S
• Allysen Dubisky, MD
• Dublin Diagnostic Imaging LLC
• Dublin Medical and Wellness Center
• Leeran Blythe Dublin-Ryan, PHD, MS, CGC
• Suesia Dubose
• Diane Sandra Ducharme, CRNA
• Kierra Monique Duckett
• Darshan K Duckson

• Pain Medicine (Anesthesiology) Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Pain Medicine (Anesthesiology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.