Active NPI
Novus Pain Management - Ohio LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Chagrin Falls, OH
National Provider Identifier
1386287936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- NOVUS PAIN MANAGEMENT - OHIO LLC
- Practice address
- 100 N Main St Ste 350
Chagrin Falls, OH 44022-2773 - Phone
- (301) 722-0484
- Fax
- (833) 903-0130
- NPI assigned
- Oct 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Robosson
- Title
- Practice Manager
- Phone
- (240) 727-3995
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
100 N Main St Ste 350
Chagrin Falls, OH 44022-2773
Mailing address
157 Baltimore St Ste 100
Cumberland, MD 21502-2472
Phone (301) 722-0484
National Provider Directory
National Provider DirectoryLocations
100 N Main St
Ste 350
Chagrin Falls, OH 44022
Phone (866) 909-3215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1386287936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 BALTIMORE ST STE 100",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022472",
"telephone_number": "301-722-0484",
"fax_number": "833-903-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N MAIN ST STE 350",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440222773",
"telephone_number": "301-722-0484",
"fax_number": "833-903-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVUS PAIN MANAGEMENT - OHIO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-25",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A",
"authorized_official_last_name": "ROBOSSON",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "240-727-3995"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chagrin Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.