Organization Active NPI

Advanced Pain Management Institute, LLC

  • Pain Clinic/Center
  • Canton, OH
National Provider Identifier
1760812952
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
35.088961 Issued in OH
Legal business name
ADVANCED PAIN MANAGEMENT INSTITUTE, LLC
Practice address
4368 Dressler Rd NW
Suite 201a
Canton, OH 44718-2771
Phone
(330) 915-2225
Fax
(330) 915-2205
NPI assigned
Nov 25, 2013
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Dr. Adel Zakari, M.D.NPI 1114053287
Title
Medical Director
Phone
(216) 926-8368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 35.088961 OH Primary

Addresses

Primary practice location

4368 Dressler Rd NW
Suite 201a
Canton, OH 44718-2771

Mailing address

PO Box 35488
Canton, OH 44735-5488
Phone (330) 915-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140121001135 OH Part B Supplier - Clinic/Group Practice 7719115799 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, OH

National Provider Directory

National Provider Directory

Locations

4368 Dressler Rd NW
Ste 201A
Canton, OH 44718
Phone (330) 915-2225

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": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1760812952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35488",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447355488",
            "telephone_number": "330-915-2225",
            "fax_number": "330-915-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 DRESSLER RD NW",
            "address_2": "SUITE 201A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182771",
            "telephone_number": "330-915-2225",
            "fax_number": "330-915-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MANAGEMENT INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "ZAKARI",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "216-926-8368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "OH",
            "license": "35.088961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.