Individual provider Active NPI

Wesley Wayne Youngblood, MD

  • Pain Medicine Physician
  • Loveland, OH
National Provider Identifier
1730718016
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35.152584 Issued in OH
Practice address
1301 Mattec Dr
Loveland, OH 45140-7300
Phone
(513) 454-7246
Fax
(513) 986-5069
NPI assigned
Apr 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.15258 OH
Pain Medicine Physician 208VP0000X 35.152584 OH Primary

Addresses

Primary practice location

1301 Mattec Dr
Loveland, OH 45140-7300

Mailing address

PO Box 35914
Belfast, ME 04915-1201
Phone (888) 488-8289

Other practice location 1

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 934-4696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321001002 OH Practitioner - Anesthesiology 5092136820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Mississippi School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Pain Treatment InstituteGroup PAC ID 5092019281, 12 clinicians

Practice addresses (Care Compare)

1301 Mattec Dr
Loveland, OH 45140-7300
Phone (513) 454-7246

Hospital & facility affiliations

  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.15258OHMDAnesthesiology Physician
35.152584OHMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Treatment Institute CurrentSince May 12, 2025 Accepting new patients
Premier Pain Treatment Institute, LLC CurrentSince May 12, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. PastSince Apr 1, 2020 Accepting new patients

Locations

1121 Northview Dr
Ste 2
Hillsboro, OH 45133
Phone (513) 454-7246

1301 Mattec Dr
Loveland, OH 45140
Phone (513) 454-7246

4701 Central Ave
Middletown, OH 45044
Phone (513) 425-9796

111 Vandament Way
Mount Orab, OH 45154
Phone (513) 454-7246

Interoperability endpoints

  • Direct secure messaging: wesley.youngblood.1@29303.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1730718016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35914",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151201",
            "telephone_number": "888-488-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MATTEC DR",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451407300",
            "telephone_number": "513-454-7246",
            "fax_number": "513-986-5069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-4696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "WESLEY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.15258",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35.152584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

Verify at the official NPI Registry.