Active NPI
Dawn R List, LMT
- Pain Clinic/Center
- Grove City, OH
National Provider Identifier
1497006993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 33.019357
- Practice address
- 3671 Christopher PL
Grove City, OH 43123-2428 - Phone
- (614) 204-4525
- NPI assigned
- Sep 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | 33.019357 | OH | Primary |
Addresses
Primary practice location
3671 Christopher PL
Grove City, OH 43123-2428
Mailing address
3671 Christopher PL
Grove City, OH 43123-2428
Phone (614) 204-4525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33.19357 | Other | OH | STATE MEDICAL BD - MASSAGE THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33.019357 | OH | MD | Pain Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1497006993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3671 CHRISTOPHER PL",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431232428",
"telephone_number": "614-204-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3671 CHRISTOPHER PL",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431232428",
"telephone_number": "614-204-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIST",
"first_name": "DAWN",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "OH",
"license": "33.019357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL BD - MASSAGE THERAPY",
"identifier": "33.19357",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.