Pain Management of Southwest Ohio Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

35035824 Issued in OH

Legal business name

PAIN MANAGEMENT OF SOUTHWEST OHIO INC

Practice address

1220 East Home Rd
Springfield, OH 45503-2727

Phone

(937) 342-0339

Fax

(937) 342-0462

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul Edward Andorfer, MD

Title

President

Phone

(937) 342-0339

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326109463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 EAST HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032727",
            "telephone_number": "937-342-0339",
            "fax_number": "937-342-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 EAST HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032727",
            "telephone_number": "937-342-0339",
            "fax_number": "937-342-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT OF SOUTHWEST OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDORFER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-342-0339",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35035824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0954310",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Jean Pack
• Lisa Pack, PTA
• Bethany Paczkowski, DO
• Diana Padrutt
• Gaurav Pahouja
• Heidi Pairan
• Julia Ann Palmer, R.N.
• Marios Petrous Panayides, MD
• Kaylee Panstingel
• Paragon Infusion Therapy, LLC

• Pain Medicine (Anesthesiology) Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Pain Medicine (Anesthesiology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.