Organization Active NPI

Health and Pain Care LLC

  • Family Medicine Physician
  • Maumee, OH
National Provider Identifier
1245902212
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH AND PAIN CARE LLC
Practice address
1574 Henthorne Dr Ste C
Maumee, OH 43537-3921
Phone
(419) 517-1737
Fax
(419) 517-0108
NPI assigned
Sep 29, 2021
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Gary F Smith, DCNPI 1154371573
Title
Owner
Phone
(419) 517-1737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1574 Henthorne Dr Ste C
Maumee, OH 43537-3921

Mailing address

1574 Henthorne Dr Ste C
Maumee, OH 43537-3921
Phone (419) 517-1737

Other practice location 1

1574 Henthorne Dr Ste C
Maumee, OH 43537-3921
Phone (419) 517-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220420002429 OH Part B Supplier - Clinic/Group Practice 1153718226 Receives reassigned benefits from 2 practitioners
Practice locations: Toledo, OH; Maumee, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2274115Health and Pain Care, LLC1574 Henthorne Dr, Unit B-2, Maumee, OH 43537Certificate of waiverDec 26, 2026

National Provider Directory

National Provider Directory

Locations

4334 W Central Ave
Ste 210
Toledo, OH 43615
Phone (419) 517-1737

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1245902212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 HENTHORNE DR STE C",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373921",
            "telephone_number": "419-517-1737",
            "fax_number": "419-517-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 HENTHORNE DR STE C",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373921",
            "telephone_number": "419-517-1737",
            "fax_number": "419-517-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1574 Henthorne Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435373921",
            "country_code": "US",
            "telephone_number": "419-517-1737",
            "fax_number": "419-517-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH AND PAIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2024-01-03",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-517-1737",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.