Organization Active NPI

Village Pain & Rehab Associates Inc

  • Pain Medicine (Anesthesiology) Physician
  • Uniontown, OH
National Provider Identifier
1568567907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
VILLAGE PAIN & REHAB ASSOCIATES INC
Practice address
3570 Executive Dr.
Suite 201
Uniontown, OH 44685
Phone
(330) 896-0900
Fax
(330) 896-0907
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Midian, MDNPI 1184626814
Title
Director
Phone
(330) 896-0900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

3570 Executive Dr.
Suite 201
Uniontown, OH 44685

Mailing address

3570 Executive Dr.
Suite 201
Uniontown, OH 44685
Phone (330) 896-0900

Other identifiers 1

IdentifierTypeStateIssuer
0709264MedicaidOH

National Provider Directory

National Provider Directory

Locations

3570 Executive Dr
Ste 201
Green, OH 44685
Phone (330) 595-4563

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568567907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 EXECUTIVE DR.",
            "address_2": "SUITE 201",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "44685",
            "telephone_number": "330-896-0900",
            "fax_number": "330-896-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 EXECUTIVE DR.",
            "address_2": "SUITE 201",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "44685",
            "telephone_number": "330-896-0900",
            "fax_number": "330-896-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PAIN & REHAB ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIDIAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-896-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0709264",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.