NPIMap

Organization Active NPI

Summit Pain Specialists Inc

  • Pain Medicine Physician
  • Stow, OH
National Provider Identifier
1043373152
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
SUMMIT PAIN SPECIALISTS INC
Practice address
4302 Allen Rd
Suite 300
Stow, OH 44224-1032
Phone
(330) 945-9551
Fax
(330) 945-9920
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Kimberly Ann Sponseller
Title
Managed Care Coordinator
Phone
(330) 945-9551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

4302 Allen Rd
Suite 300
Stow, OH 44224-1032

Mailing address

4302 Allen Rd
Suite 300
Stow, OH 44224-1032
Phone (330) 945-9551

Other identifiers 1

IdentifierTypeStateIssuer
2259532MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1043373152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALLEN RD",
            "address_2": "SUITE 300",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241032",
            "telephone_number": "330-945-9551",
            "fax_number": "330-945-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALLEN RD",
            "address_2": "SUITE 300",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241032",
            "telephone_number": "330-945-9551",
            "fax_number": "330-945-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PAIN SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "SPONSELLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
        "authorized_official_telephone_number": "330-945-9551"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2259532",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.