Anesthesiologists D.O. Inc.

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

09915-NS Issued in OH

Legal business name

ANESTHESIOLOGISTS D.O. INC.

Doing business as

Doctors Pain Clinic

Practice address

1011 Boardman Canfield Rd
Boardman, OH 44512-4226

Phone

(330) 629-2888

Fax

(330) 629-8940

NPI assigned

Jan 29, 2014

Last updated

Jan 29, 2014By 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

Carisa L Sechrist, AAS

Title

Credentialing Specialist

Phone

(330) 629-2888

Specialties & licenses 1

Addresses

Other names 1

• Doctors Pain Clinic Doing business as

Tax ID family

Doctors Pain Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Anesthesiologists D.O., Inc

  dba Doctors Pain Clinic

  • Interventional Pain Medicine Physician
  • Canton, OH
  • NPI 1417270885
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy L Neuendorf, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Youngstown, OH
  • NPI 1275509275
  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1043633993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124226",
            "telephone_number": "330-629-2888",
            "fax_number": "330-629-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124226",
            "telephone_number": "330-629-2888",
            "fax_number": "330-629-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIOLOGISTS D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "SECHRIST",
        "authorized_official_first_name": "CARISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "330-629-2888",
        "authorized_official_credential": "AAS"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "09915-NS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Andrew W Mattson DDS LLC
• Angel Care Medical LLC
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• Renae Thalia Arfaras, PHARMD
• James Armile, D.O.
• Joselyn Askew, LPN

• Adult Health Clinical Nurse Specialist in Boardman, OH
• Providers in Boardman, OH by specialty
• Adult Health Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.