Organization Active NPI

Centers for Comprehensive Pain Care Inc

  • Specialist
  • Beachwood, OH
National Provider Identifier
1730572108
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35059140 Issued in OH
Legal business name
CENTERS FOR COMPREHENSIVE PAIN CARE INC
Practice address
3755 Orange PL
Ste 101
Beachwood, OH 44122-4426
Phone
(216) 593-0030
Fax
(216) 593-0031
NPI assigned
Mar 10, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Jerome B Yokiel, M.D.
Title
President
Phone
(216) 593-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35059140 OH Primary

Addresses

Primary practice location

3755 Orange PL
Ste 101
Beachwood, OH 44122-4426

Mailing address

3755 Orange PL
Ste 101
Beachwood, OH 44122-4426
Phone (216) 593-0030

Other identifiers 1

IdentifierTypeStateIssuer
1912950247OtherOHNPI

National Provider Directory

National Provider Directory

Locations

3755 Orange Pl
Ste 101
Cleveland, OH 44122
Phone (216) 593-0030

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1730572108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 ORANGE PL",
            "address_2": "STE 101",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224426",
            "telephone_number": "216-593-0030",
            "fax_number": "216-593-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 ORANGE PL",
            "address_2": "STE 101",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224426",
            "telephone_number": "216-593-0030",
            "fax_number": "216-593-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR COMPREHENSIVE PAIN CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "YOKIEL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-593-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35059140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912950247",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.