Organization Active NPI

J C Pain Clinic Inc

  • Legal Medicine
  • Toledo, OH
National Provider Identifier
1447462155
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
35046488 Issued in OH
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

Updated by the provider on Aug 22, 2020

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.NPI 1871653196
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)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0709513MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.