Active NPI
Western Hills Interventional Pain LLC
- Physical Medicine & Rehabilitation Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35084990
- Legal business name
- WESTERN HILLS INTERVENTIONAL PAIN LLC
- Practice address
- 3860 Race Rd Ste 203
Cincinnati, OH 45211-4307 - Phone
- (513) 842-7781
- Fax
- (513) 842-7783
- NPI assigned
- Jul 1, 2011
- 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
- Sung Ki Min, MD
- Title
- MD/Owner
- Phone
- (513) 842-7781
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 35084990 | OH | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 35084990 | OH |
Addresses
Primary practice location
3860 Race Rd Ste 203
Cincinnati, OH 45211-4307
Mailing address
6460 Harrison Ave
Suite 300
Cincinnati, OH 45247-7957
Phone (513) 842-7781
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201047290 | Medicaid | IN | |
| 0056085 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6460 Harrison Ave
Ste 300
Cincinnati, OH 45247
Phone (513) 842-7781
3860 Race Rd
Ste 203
Cincinnati, OH 45211
Phone (513) 842-7781
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Cincinnati, OH
- NPI 1114978012
Interventional Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525132800000",
"number": "1134416886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6460 HARRISON AVE",
"address_2": "SUITE 300",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477957",
"telephone_number": "513-842-7781",
"fax_number": "513-842-7783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 RACE RD STE 203",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452114307",
"telephone_number": "513-842-7781",
"fax_number": "513-842-7783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN HILLS INTERVENTIONAL PAIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-01",
"last_updated": "2018-05-01",
"status": "A",
"authorized_official_last_name": "MIN",
"authorized_official_first_name": "SUNG",
"authorized_official_middle_name": "KI",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "513-842-7781",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "35084990",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OH",
"license": "35084990",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201047290",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0056085",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
- Emily Westermeyer
- Western Family Physicians, Inc.
- Western Hills Chiropractic, Inc.
- Western Hills Dental Center LLC
- Western Hills Home Care
- Western Hills Medical Imaging
- Western Hills Medical Imaging, Inc.
- Western Hills Open MRI, LLC
- Western Hills Orthopaedic & Sports Medicine, Inc
- Savannah Lynn Westfahl, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.