Organization Active NPI

Advanced Pain & Spine Institute LLC

  • Interventional Pain Medicine Physician
  • Milford, OH
National Provider Identifier
1467733147
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 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
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Magdalena E Kerschner, MDNPI 1962621656
Title
Pres/Owner
Phone
(513) 936-3050

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Pain Medicine (Anesthesiology) Physician 207LP2900X
Pain Medicine Physician 208VP0000X
Interventional Pain Medicine Physician 208VP0014X Primary

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 3

IdentifierTypeStateIssuer
0054507MedicaidOH
7100254700MedicaidKY
7100223810MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

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

4404 Gleneste Withamsville Rd
Cincinnati, OH 45245
Phone (513) 936-3050

5405 DuPont Cir
Ste A
Milford, OH 45150
Phone (513) 936-3050

9600 Montgomery Rd
Montgomery, OH 45242
Phone (513) 936-3050

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1467733147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 DUPONT CIR STE A",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502798",
            "telephone_number": "513-936-3050",
            "fax_number": "513-745-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 DUPONT CIR STE A",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502798",
            "telephone_number": "513-936-3050",
            "fax_number": "513-745-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN & SPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "KERSCHNER",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "513-936-3050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054507",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100254700",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100223810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.