Active NPI
The Pain Clinic, Inc
- Pain Medicine (Anesthesiology) Physician
- Marion, OH
National Provider Identifier
1932397833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- THE PAIN CLINIC, INC
- Practice address
- 1199 Delaware Ave
Marion, OH 43302-6475 - Phone
- (740) 375-0901
- Fax
- (740) 375-0040
- NPI assigned
- Oct 5, 2007
- 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
- Ms. Constance Redman
- Title
- Practice Manager
- Phone
- (614) 777-5860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1199 Delaware Ave
Marion, OH 43302-6475
Mailing address
PO Box 3022
Dublin, OH 43016-0012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2630942 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1199 Delaware Ave
Marion, OH 43302
Phone (740) 375-0200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Gahanna, OH
- NPI 1285689224
-
- Pain Medicine (Anesthesiology) Physician
- Marion, OH
- NPI 1346204039
-
- Interventional Pain Medicine Physician
- Dublin, OH
- NPI 1548225287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191542400000",
"number": "1932397833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3022",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430160012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 DELAWARE AVE",
"city": "MARION",
"state": "OH",
"postal_code": "433026475",
"telephone_number": "740-375-0901",
"fax_number": "740-375-0040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PAIN CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A",
"authorized_official_last_name": "REDMAN",
"authorized_official_first_name": "CONSTANCE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "614-777-5860",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2630942",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.