Spine and Pain Care Consultants

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

34003893 Issued in OH

Legal business name

SPINE AND PAIN CARE CONSULTANTS

Practice address

211 Stocksdale Dr
Marysville, OH 43040-5507

Phone

(888) 965-7146

Fax

(937) 642-5537

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Lee Coates, D.O.

Title

President

Phone

(330) 998-4582

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pain Consultants Former legal business name

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1083701502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74149",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441944149",
            "telephone_number": "330-998-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 STOCKSDALE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405507",
            "telephone_number": "888-965-7146",
            "fax_number": "937-642-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND PAIN CARE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-998-4582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "34003893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF2329",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0673614",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Consultants",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tiffany Snyder
• Laura L Sorg, M.D.
• Nicole Ashley Souza
• Shelley Anne Soviak, LISW
• Stephanie Sparks, PA-C, ATC, MED, MSPS
• Tara Lynn St Louis, LSW
• Erin St. Germain, LISW
• Elizabeth E. Staas, LSW CDCA
• Eryn Lynne Staats, AUD
• Elizabeth Stahler, PHARMD

• Pain Medicine (Anesthesiology) Physician in Marysville, OH
• Providers in Marysville, OH by specialty
• Pain Medicine (Anesthesiology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.