NPIMap

Organization Active NPI

Complete Pain Care, LLC

  • Pain Medicine Physician
  • Toledo, OH
National Provider Identifier
1154480168
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
COMPLETE PAIN CARE, LLC
Practice address
3700 N Holland Sylvania Rd
Suite 100
Toledo, OH 43615-1006
Phone
(419) 534-9823
Fax
(419) 534-9837
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
James S Bassett Jr., M.D.
Title
Owner
Phone
(419) 534-9823

Specialties & licenses 1

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

Addresses

Primary practice location

3700 N Holland Sylvania Rd
Suite 100
Toledo, OH 43615-1006

Mailing address

3700 N Holland Sylvania Rd
Suite 100
Toledo, OH 43615-1006
Phone (419) 534-9823

Other identifiers 1

IdentifierTypeStateIssuer
2846513MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1154480168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151006",
            "telephone_number": "419-534-9823",
            "fax_number": "419-534-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151006",
            "telephone_number": "419-534-9823",
            "fax_number": "419-534-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PAIN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-534-9823",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846513",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.