Organization Active NPI

Northcoast Pain Specialists LLC

  • Family Medicine Physician
  • Elyria, OH
National Provider Identifier
1013223403
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTHCOAST PAIN SPECIALISTS LLC
Practice address
1100 N Abbe Rd Ste B
Elyria, OH 44035-1667
Phone
(440) 366-0253
Fax
(440) 366-0255
NPI assigned
Aug 24, 2010
Organization subpart
Yes
Parent organization
NORTHEAST OHIO HEALTH PROFESSIONALS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Authorized official

Name
Michael Capobianco, DCNPI 1942492780
Title
Manager
Phone
(440) 366-0253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1100 N Abbe Rd Ste B
Elyria, OH 44035-1667

Mailing address

1100 N Abbe Rd Ste B
Elyria, OH 44035-1667
Phone (440) 366-0253

National Provider Directory

National Provider Directory

Locations

11811 Shaker Blvd
Ste 415
Cleveland, OH 44120
Phone (216) 791-4307

1100 Abbe Rd N
Ste B
Elyria, OH 44035
Phone (440) 366-0253

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1013223403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N ABBE RD STE B",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351667",
            "telephone_number": "440-366-0253",
            "fax_number": "440-366-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N ABBE RD STE B",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351667",
            "telephone_number": "440-366-0253",
            "fax_number": "440-366-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCOAST PAIN SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST OHIO HEALTH PROFESSIONALS LLC",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "CAPOBIANCO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-366-0253",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.