Active NPI
Syndolor Medical LLC
- Pain Medicine (Anesthesiology) Physician
- Warren, OH
National Provider Identifier
1194029272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- SYNDOLOR MEDICAL LLC
- Practice address
- 1806 E Market St
Warren, OH 44483-6616 - Phone
- (330) 469-9175
- NPI assigned
- Jan 4, 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
- Shelley Telshaw
- Title
- Billing
- Phone
- (330) 469-9175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1806 E Market St
Warren, OH 44483-6616
Mailing address
1806 E Market St
Warren, OH 44483-6616
Phone (330) 469-9175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2072785 | Syndolor Medical LLC | Certificate of waiver | Feb 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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 (Anesthesiology) Physician
- Warren, OH
- NPI 1730267188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294099200000",
"number": "1194029272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444836616",
"telephone_number": "330-469-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444836616",
"telephone_number": "330-469-9175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNDOLOR MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A",
"authorized_official_last_name": "TELSHAW",
"authorized_official_first_name": "SHELLEY",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "330-469-9175"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.