Integrative Pain Care LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTEGRATIVE PAIN CARE LLC

Practice address

300 Allen Bradley Dr
Mayfield Heights, OH 44124-6130

Phone

(440) 306-3200

Fax

(440) 574-0009

NPI assigned

Apr 9, 2014

Last updated

Jun 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam J Hedaya, MDNPI 1528171113

Title

Sole Member

Phone

(440) 306-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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.

• Adam J Hedaya, MD

  • Interventional Pain Medicine Physician
  • Mayfield Heights, OH
  • NPI 1528171113
  Medicare reassignment NPD Authorized official
• Mariah Lynn Clapp, PA-C

  • Medical Physician Assistant
  • Westlake, OH
  • NPI 1134613664
  Medicare reassignment

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1982023701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241565",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441248565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ALLEN BRADLEY DR",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246130",
            "telephone_number": "440-306-3200",
            "fax_number": "440-574-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Hayes Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448707248",
            "country_code": "US",
            "telephone_number": "440-306-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 W Strub Rd",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448705390",
            "country_code": "US",
            "telephone_number": "440-306-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE PAIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "HEDAYA",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "440-306-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Ilko, PHARMD
• Independent Home Health Inc
• Kelsie Infante, NP
• Bailey Jean Ingham, FNP
• Integrative Pain Care LLC (Cleveland Pain Care)
• Barbara L Isom
• Ashley Jackson
• Byron Jackson I, D.C.
• Crystal La'Nae Jackson
• Kevin Jackson, CAA

• Interventional Pain Medicine Physician in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• Interventional Pain Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.