NPIMap

Organization Active NPI

Greater Cincinnati Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Cincinnati, OH
National Provider Identifier
1619044005
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
GREATER CINCINNATI PAIN MANAGEMENT
Practice address
4243 Hunt Rd
Cincinnati, OH 45242-6645
Phone
(513) 794-5107
Fax
(513) 791-2680
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Dr. Mitchell E Simons, M.D.
Title
Physician-Owner-President
Phone
(513) 794-5107

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X

Addresses

Primary practice location

4243 Hunt Rd
Cincinnati, OH 45242-6645

Mailing address

4243 Hunt Rd
Cincinnati, OH 45242-6645
Phone (513) 794-5107

Other identifiers 2

IdentifierTypeStateIssuer
2551957MedicaidOH
7100060820MedicaidKY

National Provider Directory

National Provider Directory

Locations

103 Landmark Dr
Ste 110
Bellevue, KY 41073
Phone (859) 261-9504

20 N Grand Ave
Ste 2C
Fort Thomas, KY 41075
Phone (606) 441-0400

Practitioners & affiliated clinicians

Practitioners 7

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1619044005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 HUNT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426645",
            "telephone_number": "513-794-5107",
            "fax_number": "513-791-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 HUNT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426645",
            "telephone_number": "513-794-5107",
            "fax_number": "513-791-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CINCINNATI PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER-PRESIDENT",
        "authorized_official_telephone_number": "513-794-5107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2551957",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100060820",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.