St Cyril Pain Clinic

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

35090324 Issued in OH

Legal business name

ST CYRIL PAIN CLINIC

Practice address

2600 Elm Rd NE
Cortland, OH 44410-9393

Phone

(330) 729-0111

Fax

(330) 729-1333

NPI assigned

Apr 21, 2009

Last updated

Nov 2, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

ST CYRIL PAIN CLINICAs reported in NPPES

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

Authorized official

Name

George Naguib Andrews, M.D.

Title

Owner

Phone

(216) 509-0842

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

St Cyril Pain Clinic

Locations

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1578707659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SAHARA TRL",
            "address_2": "STE B",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143691",
            "telephone_number": "330-729-0111",
            "fax_number": "330-729-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ELM RD NE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109393",
            "telephone_number": "330-729-0111",
            "fax_number": "330-729-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CYRIL PAIN CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CYRIL PAIN CLINIC",
        "enumeration_date": "2009-04-21",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "NAGUIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-509-0842",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35090324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SHIELD OF OHIO",
            "identifier": "000000612329",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Shaffer, COTA/L
• Shipman,Eucker and Associates (Shipman, Eucker and Fealko)
• Charlene Simpson
• Patrick J Smith, OTR/L
• Aubrey Dawn Springer, LPTA
• Beth E Stefura, RD.,LD
• Margaret Stewart, LMT
• Amber Lyn Stiles-Bodnar, MSED, LPCC, LCDC III
• Kristin Stovall, RDN
• Rachel Street, PHARMD

• Pain Medicine Physician in Cortland, OH
• Providers in Cortland, OH by specialty
• Pain Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.