Organization Active NPI

Ado Health Services Inc

Doing business as Doctors Pain Clinic

  • Pain Medicine (Anesthesiology) Physician
  • Youngstown, OH
National Provider Identifier
1467407338
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ADO HEALTH SERVICES INC
Doing business as
Doctors Pain Clinic
Practice address
1011 Boardman-Canfield Rd.
Youngstown, OH 44512-4226
Phone
(330) 629-2888
Fax
(330) 629-2946
NPI assigned
May 22, 2006
Last updated
Feb 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Tracy Lee Neuendrof, D.O.
Title
Medical Director
Phone
(330) 629-2888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OH
Pain Medicine (Anesthesiology) Physician 207LP2900X OH Primary

Addresses

Primary practice location

1011 Boardman-Canfield Rd.
Youngstown, OH 44512-4226

Mailing address

1011 Boardman-Canfield Rd.
Youngstown, OH 44512-4226
Phone (330) 629-2888

Other identifiers 3

IdentifierTypeStateIssuer
0311344MedicaidOH
36D2106526OtherOHCLIA WAIVER
0071748100003MedicaidPA

Other names 1

  • Doctors Pain Clinic Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1467407338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BOARDMAN-CANFIELD RD.",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124226",
            "telephone_number": "330-629-2888",
            "fax_number": "330-629-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOARDMAN-CANFIELD RD.",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124226",
            "telephone_number": "330-629-2888",
            "fax_number": "330-629-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADO HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "NEUENDROF",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-629-2888",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0311344",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "36D2106526",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071748100003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.