Active NPI
Toledo Spine Joint and Pain LLC
- Interventional Pain Medicine Physician
- Holland, OH
National Provider Identifier
1659917649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- TOLEDO SPINE JOINT AND PAIN LLC
- Practice address
- 6855 Spring Valley Dr Ste 150
Holland, OH 43528-7012 - Phone
- (203) 528-7398
- NPI assigned
- Nov 25, 2019
- 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. Arif Ahmad Khan, MD
- Title
- Owner
- Phone
- (203) 528-7398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
6855 Spring Valley Dr Ste 150
Holland, OH 43528-7012
Mailing address
6855 Spring Valley Dr Ste 150
Holland, OH 43528-7012
Phone (203) 528-7398
Other names 1
- TSJP LLC INC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574640000000",
"number": "1659917649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6855 SPRING VALLEY DR STE 150",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435287012",
"telephone_number": "203-528-7398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6855 SPRING VALLEY DR STE 150",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435287012",
"telephone_number": "203-528-7398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOLEDO SPINE JOINT AND PAIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "ARIF",
"authorized_official_middle_name": "AHMAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-528-7398",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TSJP LLC INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.