Pediatric Pain Care LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC PAIN CARE LLC

Practice address

5060 Bradenton Ave
Suite B
Dublin, OH 43017-3511

Phone

(614) 889-6422

Fax

(614) 453-8863

NPI assigned

Dec 21, 2009

Organization subpart

No

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

Authorized official

Name

Michael Joseph, M.D.

Title

President

Phone

(614) 747-3394

Specialties & licenses 2

Addresses

Other names 1

• Center for Pediatric & Adolescent Pain Care Doing business as

Locations

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1922337054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3982 POWELL RD",
            "address_2": "STE 271",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657662",
            "telephone_number": "614-889-6422",
            "fax_number": "614-453-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 BRADENTON AVE",
            "address_2": "SUITE B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173511",
            "telephone_number": "614-889-6422",
            "fax_number": "614-453-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PAIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-747-3394",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Pediatric & Adolescent Pain Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Macy Peck
• Jason Pedrick, M.D.
• J'Autiana Peebles
• Elizabeth Peer
• John David Pelfrey, M.D.
• Courtney Pellack

• Pediatrics Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.