Active NPI
J C Pain Clinic Inc
- Legal Medicine
- Toledo, OH
National Provider Identifier
1447462155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 35046488
- Legal business name
- J C PAIN CLINIC INC
- Practice address
- 1500 N Superior St
004
Toledo, OH 43604-2157 - Phone
- (419) 729-8162
- Fax
- (419) 729-8164
- NPI assigned
- May 4, 2007
- 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
- Dr. James C Chang, M.D.
- Title
- Sole Provider
- Phone
- (419) 729-8162
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 35046488 | OH | Primary |
Addresses
Primary practice location
1500 N Superior St
004
Toledo, OH 43604-2157
Mailing address
1500 N Superior St
004
Toledo, OH 43604-2157
Phone (419) 729-8162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0709513 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1500 N Superior St
Ste 004
Toledo, OH 43604
Phone (419) 729-8162
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine Physician
- Toledo, OH
- NPI 1871653196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447462155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N SUPERIOR ST",
"address_2": "004",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436042157",
"telephone_number": "419-729-8162",
"fax_number": "419-729-8164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N SUPERIOR ST",
"address_2": "004",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436042157",
"telephone_number": "419-729-8162",
"fax_number": "419-729-8164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J C PAIN CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "SOLE PROVIDER",
"authorized_official_telephone_number": "419-729-8162",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "OH",
"license": "35046488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0709513",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- 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.