Organization Active NPI

PM&R Pain Free, LLC

  • Pain Medicine Physician
  • Westerville, OH
National Provider Identifier
1609269653
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
34009895 Issued in OH
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

Updated by the provider on Sep 25, 2024

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.NPI 1972501724
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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0121242 GROUPMedicaidOH

Other names 1

  • SPINE MUSCLES NERVES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150514002815 OH Part B Supplier - Clinic/Group Practice 7315267366 Receives reassigned benefits from 1 practitioner
Practice locations: Westerville, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.