Organization Active NPI

Upper Valley Pain Clinic LLC

  • Pain Medicine Physician
  • Troy, OH
National Provider Identifier
1144438029
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
UPPER VALLEY PAIN CLINIC LLC
Practice address
180 S Stanfield Rd
Suite B
Troy, OH 45373-0106
Phone
(937) 440-9758
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Dr. Easaw Thomas, M.D.
Title
MD/Owner
Phone
(937) 440-9758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

180 S Stanfield Rd
Suite B
Troy, OH 45373-0106

Mailing address

180 S Stanfield Rd
Suite B
Troy, OH 45373-0106
Phone (937) 440-9758

National Provider Directory

National Provider Directory

Locations

180 S Stanfield Rd
Ste B
Troy, OH 45373
Phone (937) 440-9758

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1144438029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S STANFIELD RD",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453730106",
            "telephone_number": "937-440-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S STANFIELD RD",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453730106",
            "telephone_number": "937-440-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "EASAW",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "937-440-9758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.