NPIMap

Organization Active NPI

Comprehensive Pain Management Specialists

  • Durable Medical Equipment & Medical Supplies
  • Fairlawn, OH
National Provider Identifier
1376993782
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMPREHENSIVE PAIN MANAGEMENT SPECIALISTS
Practice address
3535 S Smith Rd Ste a
Fairlawn, OH 44333-9270
Phone
(330) 208-2720
Fax
(330) 208-2721
NPI assigned
Jun 16, 2016
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPREHENSIVE PAIN MANAGEMENT SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Dr. Tony Ghassan Lababidi, DONPI 1104857689
Title
Medical Director
Phone
(330) 208-2720

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3535 S Smith Rd Ste a
Fairlawn, OH 44333-9270

Mailing address

2215 E Waterloo Rd
Ste 313
Akron, OH 44312-3856
Phone (330) 208-2720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121019000167 OH DME Supplier - Physician - Interventional Pain Management 9133278773 Practice locations: Fairlawn, OH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Pain Management Specialists4 organizations share this tax ID, including this one
Part of
Comprehensive Pain Management Specialists

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1560 Corporate Woods Pkwy
Ste B
Green, OH 44685

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1376993782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E WATERLOO RD",
            "address_2": "STE 313",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123856",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S SMITH RD STE A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339270",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN MANAGEMENT SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE PAIN MANAGEMENT SPECIALISTS",
        "enumeration_date": "2016-06-16",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "LABABIDI",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "GHASSAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-208-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.