Dayton Pain Center LLC
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Clayton, OH
NPI 1962663765 · NPPES record last updated Jun 24, 2008
Key facts
- NPI
- 1962663765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- DAYTON PAIN CENTER LLC
- Practice address
- 1250 National Rd
Ste 100 B
Clayton, OH 45315-9505 - Phone
- (937) 222-2233
- Fax
- (937) 222-9665
- NPI assigned
- Jun 24, 2008
- Organization subpart
- No
Authorized official
- Name
- Indira Reddy, MD
- Title
- Practice Manager
- Phone
- (937) 222-2233
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Dayton Pain Center LLC
Locations
1250 W National Rd
Ste 100B
Englewood, OH 45315
Phone (937) 222-2233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | Yes |
Addresses
Primary practice location
1250 National Rd
Ste 100 B
Clayton, OH 45315-9505
Mailing address
1 Elizabeth PL
Ste D
Dayton, OH 45408-1445
Phone (937) 222-2233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2442968 | Medicaid | OH |
Other providers in Clayton, OH
- Hillary Campbell
- Grace Patricia Counts
- Katherine L Davis
- Dayton Artificial Limb Clinic, Inc
- Dayton Artificial Limb Clinic, Inc.
- Dava J Derrick
- Fidelis Njok Elokobi
- Paul Frank
- Jade Frierson
- Danyelle Hall
All providers in Clayton, OH · Pain Medicine (Anesthesiology) Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.