Active NPI
PM&R Pain Free, LLC
- Pain Medicine Physician
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 34009895
- Legal business name
- PM&R PAIN FREE, LLC
- Practice address
- 450 Alkyre Run Ste 360
Westerville, OH 43082-6914 - Phone
- (614) 918-9808
- Fax
- (614) 918-9807
- NPI assigned
- Mar 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert E. Gould, D.O.
- Title
- Owner
- Phone
- (614) 918-9808
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 34009895 | OH | Primary |
Addresses
Primary practice location
450 Alkyre Run Ste 360
Westerville, OH 43082-6914
Mailing address
19645 Progress Dr
Strongsville, OH 44149-3205
Phone (440) 234-8833
Other practice location 1
450 Alkyre Run Ste 300
Westerville, OH 43082-6923
Phone (740) 401-9027
Other practice location 2
450 Alkyre Run
Westerville, OH 43082-6909
Phone (740) 401-9027
Other practice location 3
269 Portland Way S
Galion, OH 44833-2312
Phone (419) 462-4547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0121242 GROUP | Medicaid | OH |
Other names 1
- SPINE MUSCLES NERVES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
450 Alkyre Run
Ste 360
Westerville, OH 43082
Phone (614) 847-4100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Westerville, OH
- NPI 1972501724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727222400000",
"number": "1609269653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19645 PROGRESS DR",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441493205",
"telephone_number": "440-234-8833",
"fax_number": "440-234-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 ALKYRE RUN STE 360",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430826914",
"telephone_number": "614-918-9808",
"fax_number": "614-918-9807"
}
],
"practiceLocations": [
{
"address_1": "450 Alkyre Run Ste 300",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430826923",
"country_code": "US",
"telephone_number": "740-401-9027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Alkyre Run",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430826909",
"country_code": "US",
"telephone_number": "740-401-9027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "269 Portland Way S",
"address_purpose": "LOCATION",
"city": "Galion",
"state": "OH",
"postal_code": "448332312",
"country_code": "US",
"telephone_number": "419-462-4547",
"fax_number": "419-462-4548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PM&R PAIN FREE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-16",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A",
"authorized_official_last_name": "GOULD",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-918-9808",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "OH",
"license": "34009895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0121242 GROUP",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SPINE MUSCLES NERVES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.