NPIMap

Organization Active NPI

Key Pain Management and Treatment Center, Inc

  • Interventional Pain Medicine Physician
  • Sandusky, OH
National Provider Identifier
1750595476
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
58676 Issued in OH
Legal business name
KEY PAIN MANAGEMENT AND TREATMENT CENTER, INC
Practice address
2800 Hayes Ave
Building a
Sandusky, OH 44870-7248
Phone
(419) 625-6966
Fax
(419) 625-6997
NPI assigned
May 10, 2007
Last updated
May 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Dr. Vimal Shiv Kumar, M.D.NPI 1588714224
Title
President
Phone
(419) 625-6966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 58676 OH Primary

Addresses

Primary practice location

2800 Hayes Ave
Building a
Sandusky, OH 44870-7248

Mailing address

PO Box 1956
Sandusky, OH 44871-1956
Phone (419) 625-6966

National Provider Directory

National Provider Directory

Locations

2500 W Strub Rd
Sandusky, OH 44870
Phone 41960911123061

2800 Hayes Ave
Bldg A
Sandusky, OH 44870
Phone (419) 625-6966

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1750595476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1956",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448711956",
            "telephone_number": "419-625-6966",
            "fax_number": "419-625-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HAYES AVE",
            "address_2": "BUILDING A",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707248",
            "telephone_number": "419-625-6966",
            "fax_number": "419-625-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY PAIN MANAGEMENT AND TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "VIMAL",
        "authorized_official_middle_name": "SHIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-625-6966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "58676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.