Pain Evaluation and Management Center of Ohio, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PAIN EVALUATION AND MANAGEMENT CENTER OF OHIO, INC.

Practice address

1550 Yankee Park PL
Washington Township, OH 45458-1868

Phone

(937) 439-4949

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Brian Dean

Title

Administrator

Phone

(614) 762-5206

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pain Evaluation and Management Center of Ohio Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pain Evaluation & Management Center of Ohio, Inc.

  • Pain Medicine Physician
  • Centerville, OH
  • NPI 1811940182
  NPD tax ID
• Pemco Pharmacy

  • Community/Retail Pharmacy
  • Centerville, OH
  • NPI 1619260049
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice L Pauley, M.D.

  • Pain Medicine Physician
  • Dayton, OH
  • NPI 1467488296
  NPD (past)

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1194357814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 YANKEE PARK PL",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454581868",
            "telephone_number": "937-439-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 YANKEE PARK PL",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454581868",
            "telephone_number": "937-439-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN EVALUATION AND MANAGEMENT CENTER OF OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-762-5206"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Moeder, BCBA, COBA
• Billie Moss
• Stacia Nardecchia
• Newgen Therapy LLC
• Ohioans Home Healthcare, Inc
• Jessica Paul, DPT
• PDR Management LLC
• Polka Dot Kids
• Lillian Powers
• Haley Pricer

• Clinical Medical Laboratory in Washington Township, OH
• Providers in Washington Township, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.