Advanced Pain & Spine Institute LLC
Organization Active NPI Interventional Pain Medicine Physician · Milford, OH
NPI 1467733147 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1467733147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- Legal business name
- ADVANCED PAIN & SPINE INSTITUTE LLC
- Practice address
- 5405 Dupont Cir Ste a
Milford, OH 45150-2798 - Phone
- (513) 936-3050
- Fax
- (513) 745-9323
- NPI assigned
- Sep 8, 2011
- Organization subpart
- No
Authorized official
- Name
- Magdalena E Kerschner, MD
- Title
- Pres/Owner
- Phone
- (513) 936-3050
Practitioners 5
-
Magdalena Eva Kerschner, M.D.
-
Mazhar Rasul, MD
-
Juli Ann Sublett-Smith, APRN
-
Irma R Williams, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120309000133 | KY | Part B Supplier - Clinic/Group Practice | 7315106432 |
Receives reassigned benefits from 3 practitioners Practice locations: Maysville, KY |
| O20150219001779 | OH | Part B Supplier - Clinic/Group Practice | 7315106432 |
Receives reassigned benefits from 3 practitioners Practice locations: Milford, OH |
National Provider Directory
Locations
1907 Old Main St
Ste B
Maysville, KY 41056
Phone (606) 564-6320
906 US Highway 68
#C
Maysville, KY 41056
Phone (606) 564-9320
5405 DuPont Cir
Milford, OH 45150
9600 Montgomery Rd
Montgomery, OH 45242
Phone (513) 936-3050
9380 Montgomery Rd
Ste 206
Montgomery, OH 45242
Phone (513) 216-2725
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | |||
| Pain Medicine Physician |
208VP0000X | |||
| Interventional Pain Medicine Physician |
208VP0014X | Yes | ||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
5405 Dupont Cir Ste a
Milford, OH 45150-2798
Mailing address
5405 Dupont Cir Ste a
Milford, OH 45150-2798
Phone (513) 936-3050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100223810 | Medicaid | KY | |
| 0054507 | Medicaid | OH | |
| 7100254700 | Medicaid | KY |
Other providers in Milford, OH
- Katherine Ackerman
- Karly Rae Adams
- Jordain Hailey Addis
- Hannah Christine Adkins
- Kasie Kudrewicz Adkins
- Aftercare LLC
- Desirae Aguon Munoz
- Shagufa Rahman Ahmad I
- Emily Nicole Albacarys
- Alexandra Shehata DDS LLC
All providers in Milford, OH · Interventional Pain Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.