Organization Active NPI

Northeast Ohio Center for Pain Management, Inc.

  • Pain Clinic/Center
  • Oberlin, OH
National Provider Identifier
1639336969
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
35-066948 Issued in OH
Legal business name
NORTHEAST OHIO CENTER FOR PAIN MANAGEMENT, INC.
Practice address
60 S Pleasant St
Suite B
Oberlin, OH 44074-1633
Phone
(440) 774-7246
Fax
(440) 776-0129
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Richard Ray, M.D.NPI 1982775995
Title
President
Phone
(440) 774-7246

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 Clinic/Center 261QP3300X 35-066948 OH Primary

Addresses

Primary practice location

60 S Pleasant St
Suite B
Oberlin, OH 44074-1633

Mailing address

60 S Pleasant St
Suite B
Oberlin, OH 44074-1633
Phone (440) 774-7246

Other identifiers 1

IdentifierTypeStateIssuer
000000215005OtherOHANTHEM BLUE CROSS BLUE SHIELD

Other names 1

  • NEOCPM Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2023072Northeast Ohio Center for Pain Management60 South Pleasant Street Suite B, Oberlin, OH 44074Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

60 S Pleasant St
#B
Oberlin, OH 44074
Phone (440) 323-4659

Practitioners & affiliated clinicians

Practitioners 1

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1639336969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 S PLEASANT ST",
            "address_2": "SUITE B",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741633",
            "telephone_number": "440-774-7246",
            "fax_number": "440-776-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S PLEASANT ST",
            "address_2": "SUITE B",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741633",
            "telephone_number": "440-774-7246",
            "fax_number": "440-776-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OHIO CENTER FOR PAIN MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-774-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "OH",
            "license": "35-066948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000215005",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEOCPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oberlin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.