Active NPI
Northeast Ohio Center for Pain Management, Inc.
- Pain Clinic/Center
- Oberlin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 35-066948
- 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, 2008
- 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. Richard Ray, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000215005 | Other | OH | ANTHEM BLUE CROSS BLUE SHIELD |
Other names 1
- NEOCPM
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2023072 | Northeast Ohio Center for Pain Management | Certificate of waiver | Apr 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Oberlin, OH
- NPI 1982775995
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.