Organization Active NPI

Interventional Pain Consultants

  • Pain Clinic/Center
  • Akron, OH
National Provider Identifier
1700913217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
INTERVENTIONAL PAIN CONSULTANTS
Practice address
87 Springside Dr
Suite a
Akron, OH 44333-2428
Phone
(330) 752-4618
Fax
(330) 752-4658
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul Shin, M.D.
Title
President
Phone
(330) 752-4618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

87 Springside Dr
Suite a
Akron, OH 44333-2428

Mailing address

87 Springside Dr
Suite a
Akron, OH 44333-2428
Phone (330) 752-4618

Other identifiers 1

IdentifierTypeStateIssuer
0108798MedicaidOH

National Provider Directory

National Provider Directory

Locations

87 Springside Dr
Ste A
Akron, OH 44333
Phone (330) 668-0010

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700913217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SPRINGSIDE DR",
            "address_2": "SUITE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332428",
            "telephone_number": "330-752-4618",
            "fax_number": "330-752-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SPRINGSIDE DR",
            "address_2": "SUITE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332428",
            "telephone_number": "330-752-4618",
            "fax_number": "330-752-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-752-4618",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108798",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.