Organization Active NPI

Bruce Massau, D.O., P.C.

  • Interventional Pain Medicine Physician
  • Columbus, OH
National Provider Identifier
1073798427
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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

Updated by the provider on Apr 5, 2011

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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0472662MedicaidOH

Other names 1

  • Pain Managment Consortium of Ohio Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.