St. Mina Interventional Pain Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ST. MINA INTERVENTIONAL PAIN CENTER, INC

Doing business as

Mina Pain Center

Practice address

1621 E Market St
Suite B
Warren, OH 44483-6640

Phone

(330) 367-5188

Fax

(330) 392-0088

NPI assigned

May 26, 2015

Last updated

Jun 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Andrews, M.D.NPI 1861667370

Title

Medical Director

Phone

(216) 509-0842

Specialties & licenses 2

Addresses

Other names 1

• Mina Pain Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

St Mina Interventional Pain CenterCCN 36C0001300

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• George Andrews, M.D.

  • Interventional Pain Medicine Physician
  • Warren, OH
  • NPI 1861667370
  NPD Authorized official

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1316326242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E MARKET ST",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836640",
            "telephone_number": "330-367-5188",
            "fax_number": "330-392-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E MARKET ST",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836640",
            "telephone_number": "330-367-5188",
            "fax_number": "330-392-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MINA INTERVENTIONAL PAIN CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "216-509-0842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mina Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Spring
• Rayne Springer
• St Cyril Pain Clinic Inc
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• St. Cyril Pain Clinic
• Stabile, Direnzo, and Capetillo, LLC (NorthEastern Ohio Endodontics)
• Paul Michael Stabile, DDS MS
• Katherine Stafford
• Mark Kenneth Stafford, BSW, LSW
• Matt Stambolia

• Ambulatory Surgical Clinic/Center in Warren, OH
• Providers in Warren, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.