Individual provider Active NPI

Janice L Pauley, M.D.

  • Pain Medicine Physician
  • Dayton, OH
National Provider Identifier
1467488296
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35.057995 Issued in OH
Practice address
1550 Yankee Park PL
Dayton, OH 45458-1868
Phone
(937) 439-4949
Fax
(937) 439-4948
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35057995 OH
Pain Medicine Physician 208VP0000X 35.057995 OH Primary
Interventional Pain Medicine Physician 208VP0014X 35.057995 OH
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 35.057995 OH

Addresses

Primary practice location

1550 Yankee Park PL
Dayton, OH 45458-1868

Mailing address

1550 Yankee Park PL
Dayton, OH 45458-1868
Phone (937) 439-4949

Other identifiers 1

IdentifierTypeStateIssuer
0848962MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060821000107 OH Practitioner - Anesthesiology 8325952930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Evaluation and Management Center of Ohio IncGroup PAC ID 2365475480, 11 clinicians

Practice addresses (Care Compare)

1550 Yankee Park PL
Suite a
Centerville, OH 45458-1838
Phone (937) 439-4949

Hospital & facility affiliations

  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Merit-based Incentive Payment System (MIPS)

Final score
28.48 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
94.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35057995OHMDAnesthesiology Physician
35.057995OHMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Evaluation & Management Center of Ohio, Inc. Pain Medicine CurrentSince Nov 1, 2013 Accepting new patients
Anesthesia Associates of Cincinnati, Inc Anesthesiology Past Accepting new patients
Consolidated Anesthesiologists Inc Anesthesiology Past Accepting new patients
Pemco Pharmacy Past Accepting new patients
Lima Memorial Joint Operating Company Interventional Pain Medicine Past Accepting new patients
Pain Management Associates LLC Pain Medicine Past Accepting new patients
Pain Evaluation and Management Center of Ohio, Inc. Past Accepting new patients
Hamilton Anesthesia Associates, Inc Anesthesiology Past Accepting new patients

Locations

Dept L2433
Columbus, OH 43260

1512 Yankee Park Pl
Dayton, OH 45458
Phone (937) 434-0099

1550 Yankee Park Pl
Ste A
Dayton, OH 45458
Phone (937) 439-4949

1550 Yankee Park Pl
Washington Township, OH 45458
Phone (937) 223-2911

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1467488296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 YANKEE PARK PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581868",
            "telephone_number": "937-439-4949",
            "fax_number": "937-439-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 YANKEE PARK PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581868",
            "telephone_number": "937-439-4949",
            "fax_number": "937-439-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "JANICE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35057995",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35.057995",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35.057995",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "35.057995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0848962",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.