Organization Active NPI

St Cyril Pain Clinic Inc

  • Pain Medicine Physician
  • Warren, OH
National Provider Identifier
1295979375
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35090324 Issued in OH
Legal business name
ST CYRIL PAIN CLINIC INC
Practice address
1621 E Market St Ste a
Warren, OH 44483-6617
Phone
(330) 856-2881
Fax
(330) 856-2883
NPI assigned
Apr 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
George Naguib Andrews, M.D.
Title
Owner
Phone
(216) 509-0842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 35090324 OH Primary

Addresses

Primary practice location

1621 E Market St Ste a
Warren, OH 44483-6617

Mailing address

1621 E Market St
Suite a
Warren, OH 44483-6640
Phone (330) 856-2881

Other identifiers 1

IdentifierTypeStateIssuer
000000612329OtherOHANTHEM BLUE CROSS/BLUE SHIELD OF OHIO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1295979375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E MARKET ST",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836640",
            "telephone_number": "330-856-2881",
            "fax_number": "330-856-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E MARKET ST STE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836617",
            "telephone_number": "330-856-2881",
            "fax_number": "330-856-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CYRIL PAIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "NAGUIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-509-0842",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35090324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SHIELD OF OHIO",
            "identifier": "000000612329",
            "state": "OH"
        }
    ],
    "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 Aug 7, 2024; 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.