Active NPI
Advanced Spine & Pain Management Inc
- Interventional Pain Medicine Physician
- Cincinnati, OH
National Provider Identifier
1790881746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 34.008823
- Legal business name
- ADVANCED SPINE & PAIN MANAGEMENT INC
- Practice address
- 7691 5 Mile Rd
Suite 10
Cincinnati, OH 45230-4348 - Phone
- (513) 624-7246
- Fax
- (513) 624-6900
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mukarram Ali Khan, D.O.
- Title
- President
- Phone
- (513) 624-7246
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 34.008823 | OH | |
| Interventional Pain Medicine Physician | 208VP0014X | 34.008823 | OH | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | OH | ||
| Adult Health Nurse Practitioner | 363LA2200X |
Addresses
Primary practice location
7691 5 Mile Rd
Suite 10
Cincinnati, OH 45230-4348
Mailing address
7691 5 Mile Rd
Suite 10
Cincinnati, OH 45230-2163
Phone (513) 624-7246
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2679703 | Medicaid | OH | |
| 296827989001 | Other | MEDICAL MUTUAL | |
| 7100315340 - MD GRP | Medicaid | KY | |
| 617433400 | Other | OH | DEPT OF LABOR - MD |
| 617465100 | Other | OH | DEPT. OF LABOR - APRN |
| 150730 | Other | OH | NATIONWIDE |
| 6226080 | Other | OH | CIGNA |
| 7100287020 -NP GROUP | Medicaid | KY | |
| 317306 | Other | OH | AMERIGROUP |
| 7100240230 MD GRP # | Medicaid | OH | |
| 000000488997 | Other | OH | ANTHEM |
| 617433404 | Other | OH | US DEPT OF LABOR - EATON OFFICE |
| 617433403 | Other | OH | US DEPT OF LABOR - SPRINGFIELD OFFICE |
| 617433406 | Other | OH | US DEPT OF LABOR - SPRINGBORO OFFICE |
| P00415701 | Other | OH | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Nurse Practitioner
- Cincinnati, OH
- NPI 1982988127
-
- Nurse Practitioner
- Fort Thomas, KY
- NPI 1629321906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467072000000",
"number": "1790881746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7691 5 MILE RD",
"address_2": "SUITE 10",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452302163",
"telephone_number": "513-624-7246",
"fax_number": "513-624-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7691 5 MILE RD",
"address_2": "SUITE 10",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452304348",
"telephone_number": "513-624-7246",
"fax_number": "513-624-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SPINE & PAIN MANAGEMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2016-06-28",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MUKARRAM",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-624-7246",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "OH",
"license": "34.008823",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OH",
"license": "34.008823",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2679703",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "296827989001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100315340 - MD GRP",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR - MD",
"identifier": "617433400",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR - APRN",
"identifier": "617465100",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "150730",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6226080",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100287020 -NP GROUP",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "317306",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100240230 MD GRP #",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000488997",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR - EATON OFFICE",
"identifier": "617433404",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR - SPRINGFIELD OFFICE",
"identifier": "617433403",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR - SPRINGBORO OFFICE",
"identifier": "617433406",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00415701",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
- Advanced Diagnostics
- Advanced Health Care, LLC
- Advanced Home Medical LLC (Total Respiratory)
- Advanced Orthotic Solutions LLC (Advanced Orthotic Solutions)
- Advanced Pain and Spine Institute and Health and Wellness Center of Ci (APSI Health & Wellness Cincy)
- Advanced Technology of Kentucky Inc. (ATI Medical supplies)
- Advanced Xtracare of Ohio LLC (Advanced Xtracare)
- Aeaks, LLC
- Aeg Ohio Professional PC (Harper's Point)
- Aeg Ohio Professional PC (Harper's Point)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.