Comprehensive Pain Care Center, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COMPREHENSIVE PAIN CARE CENTER, INC

Practice address

4804 Leavitt Rd
Ste a
Lorain, OH 44053-2139

Phone

(440) 989-2066

Fax

(440) 989-1153

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Dalzell

Title

Billing Manager

Phone

(440) 246-8013

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wanda Galvan Rivera

  • Family Nurse Practitioner
  • Lorain, OH
  • NPI 1578103354
  Medicare reassignment Care Compare group NPD
• Maher S Kodsy, M.D.

  • Anesthesiology Physician
  • Elyria, OH
  • NPI 1730161746
  Medicare reassignment Care Compare group NPD
• Osama A Malak, M.D.

  • Specialist
  • Lorain, OH
  • NPI 1245218775
  Medicare reassignment Care Compare group NPD
• Jeanine R Willis, CNP

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1356776975
  Medicare reassignment Care Compare group NPD
• Vanessa R Kabat, PA-C

  • Physician Assistant
  • Sheffield Village, OH
  • NPI 1205090164
  Medicare reassignment Care Compare group
• Carmelita Rhodes, CNP

  • Adult Health Nurse Practitioner
  • Cleveland, OH
  • NPI 1427560515
  Medicare reassignment Care Compare group
• Tommi Elizabeth Haidet

  • Family Nurse Practitioner
  • Alliance, OH
  • NPI 1043776818
  Medicare reassignment NPD
• Mary Kathleen Krueger

  • Family Nurse Practitioner
  • Parma Heights, OH
  • NPI 1871077032

  Single Specialty

  Medicare reassignment NPD
• Sameh R Yonan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lorain, OH
  • NPI 1013092147
  Medicare reassignment NPD
• Nicholas Freeman Volchko, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Corning, NY
  • NPI 1619313970

  OH

  Medicare reassignment NPD
• PO Ki W Yang, PA-C

  • Physician Assistant
  • Cleveland, OH
  • NPI 1053852152
  Medicare reassignment
• Girgis Emil Girgis, DO

  • Anesthesiology Physician
  • Lorain, OH
  • NPI 1982892493
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1124095112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 LEAVITT RD",
            "address_2": "STE A",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532139",
            "telephone_number": "440-989-2066",
            "fax_number": "440-989-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 LEAVITT RD",
            "address_2": "STE A",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532139",
            "telephone_number": "440-989-2066",
            "fax_number": "440-989-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "DALZELL",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "440-246-8013",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS",
            "identifier": "128429100",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMENENTE",
            "identifier": "101259",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2065401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Hospitalist, LLC
• Compass House
• Compassus BSMH Lorain HHA LLC
• Compassus BSMH Lorain Hospice LLC
• Complete Care
• John Leo Conley
• Jordan Connell
• Constellation Schools: Lorain Community Elementary
• Constellation Schools: Lorain Community Middle
• Shannon Marie Convery, PA-C

• Specialist in Lorain, OH
• Providers in Lorain, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.