Active NPI
Bruce Massau, D.O., P.C.
- Interventional Pain Medicine Physician
- Columbus, OH
National Provider Identifier
1073798427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- BRUCE MASSAU, D.O., P.C.
- Doing business as
- Pain Managment Consortium of Ohio
- Practice address
- 393 E Town St
Suite 109
Columbus, OH 43215-4741 - Phone
- (614) 252-1500
- Fax
- (614) 252-1685
- NPI assigned
- Jan 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Massau, D.O. A PROF
- Title
- President
- Phone
- (614) 252-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | OH | Primary |
Addresses
Primary practice location
393 E Town St
Suite 109
Columbus, OH 43215-4741
Mailing address
393 E Town St
Suite 109
Columbus, OH 43215-4741
Phone (614) 252-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0472662 | Medicaid | OH |
Other names 1
- Pain Managment Consortium of Ohio
National Provider Directory
National Provider DirectoryLocations
1430 S High St
Fl 3
Columbus, OH 43207
Phone (614) 252-1500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Grove City, OH
- NPI 1669756144
-
- Interventional Pain Medicine Physician
- Birmingham, AL
- NPI 1225250335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301961600000",
"number": "1073798427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 E TOWN ST",
"address_2": "SUITE 109",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432154741",
"telephone_number": "614-252-1500",
"fax_number": "614-252-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 E TOWN ST",
"address_2": "SUITE 109",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432154741",
"telephone_number": "614-252-1500",
"fax_number": "614-252-1685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE MASSAU, D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-04",
"last_updated": "2011-04-05",
"status": "A",
"authorized_official_last_name": "MASSAU",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-252-1500",
"authorized_official_credential": "D.O. A PROF"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0472662",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pain Managment Consortium of Ohio",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.