Organization Active NPI

Ohio Institute for Comprehensive Pain Management, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Dayton, OH
National Provider Identifier
1164594834
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
OHIO INSTITUTE FOR COMPREHENSIVE PAIN MANAGEMENT, INC.
Practice address
1235 E Alex Bell Rd
Dayton, OH 45459-2658
Phone
(937) 435-6400
Fax
(937) 435-4793
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Mervet K Saleh, M.D.
Title
President
Phone
(937) 435-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1235 E Alex Bell Rd
Dayton, OH 45459-2658

Mailing address

1235 E Alex Bell Rd
Dayton, OH 45459-2658
Phone (937) 435-6400

Other identifiers 2

IdentifierTypeStateIssuer
30117761MedicaidOH
36D1095868OtherOHCLIA

National Provider Directory

National Provider Directory

Locations

1235 E Alex Bell Rd
Dayton, OH 45459
Phone (937) 435-6400

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1164594834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E ALEX BELL RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592658",
            "telephone_number": "937-435-6400",
            "fax_number": "937-435-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E ALEX BELL RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592658",
            "telephone_number": "937-435-6400",
            "fax_number": "937-435-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO INSTITUTE FOR COMPREHENSIVE PAIN MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "MERVET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-435-6400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30117761",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D1095868",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.