NPIMap

Organization Active NPI

Integrated Pain Solutions Incorporated

  • Pain Medicine (Anesthesiology) Physician
  • Dublin, OH
National Provider Identifier
1417522103
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
INTEGRATED PAIN SOLUTIONS INCORPORATED
Practice address
6397 Emerald Pkwy Ste 100
Dublin, OH 43016-2231
Phone
(614) 383-6450
NPI assigned
May 25, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Gladstone C McDowell, MDNPI 1346296621
Title
President
Phone
(614) 383-6450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 2

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

Practitioners 21

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

View all 21

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210628002574 OH DME Supplier - Physician - AnesthesiologyDME Supplier - Physician - Addiction Medicine 7214008978 Practice locations: Dublin, OH

National Provider Directory

National Provider Directory
Tax ID family
Integrated Pain Solutions Incorporated3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

6397 Emerald Pkwy
Ste 100
Dublin, OH 43016
Phone (614) 734-1100

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

NPPES NPI Registry

Primary practice location

6397 Emerald Pkwy Ste 100
Dublin, OH 43016-2231

Mailing address

1210 Gemini PL Ste 300
Columbus, OH 43240-6112
Phone (614) 383-6450

Other practice location 1

1210 Gemini Pl Ste 300
Columbus, OH 43240-6112
Phone (614) 383-6450

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2021.

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1417522103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 GEMINI PL STE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406112",
            "telephone_number": "614-383-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6397 EMERALD PKWY STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430162231",
            "telephone_number": "614-383-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Gemini Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432406112",
            "country_code": "US",
            "telephone_number": "614-383-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED PAIN SOLUTIONS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "GLADSTONE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-383-6450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.