TRI-STATE PAIN MANAGEMENT SERVICE INC (NPI# 1114258142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114258142 |
| Entity Type | Organization |
| Organization Name | TRI-STATE PAIN MANAGEMENT SERVICE INC |
| Practice Address |
8250 Kenwood Crossing Way Ste 101 Cincinnati OH 45236 |
| Mailing Address |
# L-6067 Cincinnati OH 45270-0001 |
| Practice Telephone | 8593417246 |
| Practice Fax Number | 8593417867 |
| Mailing Telephone | 8593417246 |
| Mailing Fax Number | 8593417867 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |
| Authorized Official Name | DR. SAIRAM L ATLURI (PRESIDENT OWNER) |
| Authorized Official Telephone | 8593417246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65944233 | 05 | |
| ANTHEM | 000000388145 | 01 | |
| OH | 2044773 | 05 | |
| IN | 200377720 | 05 | |
| HEALTHLAB GROUP# | 284941995 | 01 | |
| CIGNA | 5124498 | 01 | |
| BUCKEYE | 728014 | 01 | |
| HEALTHNET | 284941995 | 01 | |
| BUREAU OF WORKERS COMP | 28494199500 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528316726 | Tri-state Pain Management Service Inc | Nurse Practitioner | 7370 Turfway Rd Ste 290, Florence, KY 41042-4896 | 2012-08-17 |
| 1235469768 | Tri-state Pain Management Service Inc | Pain Medicine | 3020 Hospital Dr Ste 200, Batavia, OH 45103-1923 | 2010-01-06 |
| 1770565954 | Tri-state Pain Management Service Inc | Nurse Practitioner | 7655 Five Mile Rd, Ste 117, Cincinnati, OH 45230 | 2005-11-15 |
| 1356759815 | Tri-state Pain Management Service Inc | Pain Medicine | 425 Home St, Georgetown, OH 45121-1407 | 2014-07-29 |
| 1740545573 | Tri-state Pain Management Service Inc | Pain Medicine | 606 Wilson Creek Rd, Ste 310, Lawrenceburg, IN 47025-1095 | 2012-07-09 |
| 1336402981 | Tri-state Pain Management Service Inc | Pain Medicine | 600 Wilson Creek Rd, Dearborn County Hospital, Lawrenceburg, IN 47025-2751 | 2012-06-19 |
| 1457621898 | Tri-state Pain Management Service Inc | Nurse Practitioner | 4900 Houston Rd, Florence, KY 41042-4824 | 2012-01-03 |
| 1750607834 | Tri-state Pain Management Service Inc | Nurse Practitioner | 3000 Hospital Dr, Batavia, OH 45103-1921 | 2010-04-14 |
| 1508190794 | Tri-state Pain Management Service Inc | Nurse Practitioner | 8250 Kenwood Crossing Way, Cincinnati, OH 45236-3668 | 2009-09-22 |
| 1861625618 | Tri-state Pain Management Service Inc | Pain Medicine | 7700 University Dr, West Chester, OH 45069-2505 | 2009-08-27 |
| Street Address |
8250 KENWOOD CROSSING WAY STE 101 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821073 | Terrence S Poole | Dentist | 8250 Kenwood Crossing Way, Suite 220, Cincinnati, OH 45236-3668 | 2005-06-16 |
| 1609324441 | Jennifer Kelch | Nurse Practitioner | 8250 Kenwood Crossing Way, Suite 225, Cincinnati, OH 45236-3668 | 2016-09-21 |
| 1699228239 | Kenwood Dermatology | Dermatology | 8250 Kenwood Crossing Way, Suite 101, Cincinnati, OH 45236-3668 | 2016-08-01 |
| 1730547571 | Kathleen Clifton | Nurse Practitioner | 8250 Kenwood Crossing Way, Cincinnati, OH 45236-3668 | 2016-02-08 |
| 1871982819 | Terrence S Poole Dds LLC | Dentist | 8250 Kenwood Crossing Way, Suite 220, Cincinnati, OH 45236-3668 | 2015-01-14 |
| 1083904155 | Gregg Kottyan | Pediatrics | 8250 Kenwood Crossing Way, Suite 205, Cincinnati, OH 45236-3668 | 2011-04-11 |
| 1508190794 | Tri-state Pain Management Service Inc | Nurse Practitioner | 8250 Kenwood Crossing Way, Cincinnati, OH 45236-3668 | 2009-09-22 |
| 1932337771 | Shawn Jacob Bell | Dentist | 8250 Kenwood Crossing Way, Ste 220, Cincinnati, OH 45236-3668 | 2009-07-01 |
| 1326200205 | Your Md, LLC | Family Medicine | 8250 Kenwood Crossing Way, Suite 225, Cincinnati, OH 45236-3670 | 2008-07-01 |
| 1245434240 | Omdevasena Thirugnanam | Student in an Organized Health Care Education/Training Program | 8250 Kenwood Crossing Way, Suite 225, Cincinnati, OH 45236-3670 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| 1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
| 1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
| 1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
| 1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
| 1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
| 1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
| 1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
| Find all providers in zip 45236 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353829 | Sairam L Atluri | Pain Medicine | 7655 5 Mile Rd Ste 117, Cincinnati, OH 45230-4326 | 2005-11-15 |
| 1134550098 | Advanced Pain and Spine Institute and Health and Wellness Center of Ci | Pain Medicine | 9600 Montgomery Rd, Cincinnati, OH 45242-7246 | 2013-12-03 |
| 1134416886 | Western Hills Interventional Pain LLC | Pain Medicine | 3860 Race Rd Ste 203, Cincinnati, OH 45211-4307 | 2011-07-01 |
| 1518252691 | Comprehensive Pain Solutions, LLC | Pain Medicine | 3328 Westbourne Dr, Cincinnati, OH 45248-5133 | 2011-06-16 |
| 1629209820 | Cincinnati Pain Management Center, LLC | Pain Medicine | 5240 E Galbraith Rd, Cincinnati, OH 45236-2822 | 2009-08-05 |
| 1518112317 | Medrx, LLC | Pain Medicine | 8000 5 Mile Rd, Suite 335, Cincinnati, OH 45230-2163 | 2008-11-20 |
| 1174798441 | Comprehensive Headache and Pain Solutions LLC | Pain Medicine | 11123 Montgomery Rd, Suite 202, Cincinnati, OH 45249-2389 | 2008-04-28 |
| 1942472725 | Tri-state Pain Management Service Inc | Pain Medicine | 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 2008-04-01 |
| 1386816148 | Tri-state Pain Management Services Inc | Pain Medicine | 9250 Blue Ash Rd, Cincinnati, OH 45242-6822 | 2008-04-01 |
| 1245402015 | Tri-state Pain Management Service Inc | Pain Medicine | 4020 Smith Rd, Cincinnati, OH 45209-1936 | 2008-04-01 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45236 |
Please comment or provide details below to improve the information on TRI-STATE PAIN MANAGEMENT SERVICE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.