NPIMap

Organization Active NPI

St Cyril Pain Clinic Inc

  • Pain Medicine Physician
  • Warren, OH
National Provider Identifier
1639312689
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35090324 Issued in OH
Legal business name
ST CYRIL PAIN CLINIC INC
Practice address
1621 E Market St
Suite a
Warren, OH 44483-6640
Phone
(330) 856-2881
Fax
(330) 856-2883
NPI assigned
Apr 7, 2009
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
George Naguib Andrews, M.D.NPI 1861667370
Title
Owner of Corporation
Phone
(216) 509-0842

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 Physician 208VP0000X 35090324 OH Primary

Addresses

Primary practice location

1621 E Market St
Suite a
Warren, OH 44483-6640

Mailing address

1621 E Market St
Suite a
Warren, OH 44483-6640
Phone (330) 856-2881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090413000035 OH Part B Supplier - Clinic/Group Practice 0648327551 Receives reassigned benefits from 10 practitioners
Practice locations: Youngstown, OH; Boardman, OH; Akron, OH; Warren, OH

National Provider Directory

National Provider Directory

Locations

1621 E Market St
Ste A
Warren, OH 44483
Phone (330) 726-3800

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1639312689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E MARKET ST",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836640",
            "telephone_number": "330-856-2881",
            "fax_number": "330-856-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E MARKET ST",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836640",
            "telephone_number": "330-856-2881",
            "fax_number": "330-856-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CYRIL PAIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "NAGUIB",
        "authorized_official_title_or_position": "OWNER OF CORPORATION",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.