Oracle Pain Clinic, Inc.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

35095632 Issued in OH

Legal business name

ORACLE PAIN CLINIC, INC.

Practice address

4523 Cemetery Rd
Hilliard, OH 43026-1102

Phone

(614) 876-1618

Fax

(614) 876-1969

NPI assigned

Dec 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Essandoh, M.D.NPI 1467682948

Title

President

Phone

(614) 876-1618

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Essandoh, M.D.

  • Pain Medicine Physician
  • Hilliard, OH
  • NPI 1467682948

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Relindis Eyonghe Agbor, FNP-C

  • Family Nurse Practitioner
  • Hilliard, OH
  • NPI 1508172958
  Medicare reassignment Care Compare group NPD
• Alec Sean Bisaha, CNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1932582202
  Medicare reassignment NPD
• Mark E Kowalski, CHIROPRACTOR DC

  • Chiropractor
  • Dublin, OH
  • NPI 1902097991
  NPD (past)

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1336484294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261102",
            "telephone_number": "614-876-1618",
            "fax_number": "740-654-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261102",
            "telephone_number": "614-876-1618",
            "fax_number": "614-876-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORACLE PAIN CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "ESSANDOH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-876-1618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35095632",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35095632",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35095632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Pain Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.