Bruce Massau, DO A PROF

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

34003227 Issued in OH

Practice address

393 E Town St
Suite 109
Columbus, OH 43215-4741

Phone

(614) 252-1500

Fax

(614) 252-1685

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732

  Interventional Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1083719504",
    "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": {
        "last_name": "MASSAU",
        "first_name": "BRUCE",
        "credential": "DO A PROF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "34003227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472662",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Dix Masoner, D.D.S.
• Fatimah Masood, LSW
• Sophie Jartu Massaquoi, MD
• Tity Massaquoi
• Brittany Massaroni
• Emily Massengale, PA
• Alyssa Renee Massey, LPC
• Brittany Nicole Massey, BSW
• Regina A. Massey, N.P.
• Chantelle Massie

• Interventional Pain Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Interventional Pain Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.