Organization Active NPI

Pain Care Specialists, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Westerville, OH
National Provider Identifier
1245241199
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PAIN CARE SPECIALISTS, LLC
Practice address
1245 S Sunbury Rd
Suite 201
Westerville, OH 43081-9308
Phone
(614) 865-2124
Fax
(614) 865-2125
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Constance L Redman
Title
Practice Manager
Phone
(614) 777-5860

Specialties & licenses 1

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

Addresses

Primary practice location

1245 S Sunbury Rd
Suite 201
Westerville, OH 43081-9308

Mailing address

3645 Ridge Mill Dr
Hilliard, OH 43026-7752
Phone (614) 777-5860

Other identifiers 1

IdentifierTypeStateIssuer
2318174MedicaidOH

National Provider Directory

National Provider Directory

Locations

1245 S Sunbury Rd
Ste 201
Westerville, OH 43081
Phone (614) 721-6398

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1245241199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 RIDGE MILL DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267752",
            "telephone_number": "614-777-5860",
            "fax_number": "614-777-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S SUNBURY RD",
            "address_2": "SUITE 201",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819308",
            "telephone_number": "614-865-2124",
            "fax_number": "614-865-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "614-777-5860"
    },
    "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": "2318174",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.