Southwest Ohio Pain Management LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0958AS Issued in OH

Legal business name

SOUTHWEST OHIO PAIN MANAGEMENT LLC

Practice address

5700 Gateway Blvd.
Suite 100B
Mason, OH 45040-1890

Phone

(513) 229-7800

Fax

(513) 229-7888

NPI assigned

Nov 11, 2009

Organization subpart

No

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

Authorized official

Name

Benjamin Kasle

Title

Coo

Phone

(513) 674-8813

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Southwest Ohio Pain Management IncCCN 36C0001264

Medicare certification status

ActiveFrom the Provider of Services file

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

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1174850176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 GATEWAY BLVD.",
            "address_2": "SUITE 100B",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401890",
            "telephone_number": "513-229-7800",
            "fax_number": "513-229-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 GATEWAY BLVD.",
            "address_2": "SUITE 100B",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401890",
            "telephone_number": "513-229-7800",
            "fax_number": "513-229-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST OHIO PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "KASLE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "513-674-8813"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0958AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Sorokin, PHARMD
• Kristin Mileigh Sorrell, RN
• Sound Hearing Care, LLC
• Brylie South, CCC-SLP
• Southwest Ohio Anesthetists
• Irene Spalazzi
• Kirsten Sparks, RBT
• Christy Speigel
• Justin R Spencer, MD
• Brent Spille, D.C.

• Ambulatory Surgical Clinic/Center in Mason, OH
• Providers in Mason, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.