DAYTON PAIN CENTER LLC (NPI# 1114425535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114425535 |
Entity Type | Organization |
Organization Name | DAYTON PAIN CENTER LLC |
Practice Address |
1 Elizabeth Pl Ste D Dayton OH 45417-3445 |
Practice Telephone | 9372222233 |
Practice Fax Number | 9372229665 |
Mailing Telephone | 9372222233 |
Mailing Fax Number | 9372229665 |
Enumeration Date | 2018-01-31 |
Last Update Date | 2018-06-16 |
Authorized Official Name | ROBERT GRANT GOODWIN (PRACTICE MANAGER) |
Authorized Official Telephone | 9379526567 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | CLIA | 36D1096643 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417076803 | Dayton Pain Center LLC | Anesthesiology | 331 6th Ave, Sidney, OH 45365-1040 | 2007-03-28 |
1205349362 | Dayton Pain Center LLC | Counselor | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2017-11-13 |
1063641272 | Dayton Pain Center LLC | Anesthesiology | 9000 N Main St, Dayton, OH 45415-1180 | 2009-07-09 |
1962663765 | Dayton Pain Center LLC | Anesthesiology | 1250 National Rd, Ste 100 B, Clayton, OH 45315-9505 | 2008-06-24 |
1790730638 | Dayton Pain Center LLC | Clinic/Center | 1 Elizabeth Pl, Ste#d, Dayton, OH 45417 | 2006-05-22 |
Street Address |
1 ELIZABETH PL STE D |
City | DAYTON |
State | OH |
Zip Code | 45417-3445 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962518019 | Lita R Budiamal | Anesthesiology | 1 Elizabeth Pl Ste D, Dayton, OH 45408-1445 | 2006-08-22 |
1992312300 | Nicole M Walker | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2020-09-29 |
1659922615 | Hannah Joy Carr | Physician Assistant | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2019-09-21 |
1689149809 | Quan James Wang | Family Medicine | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-10-04 |
1942791991 | Carissa Marie Cantelupe | Counselor | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-05-25 |
1962990135 | Qiying She | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-04-24 |
1225546823 | Sherri Lynn Underwood | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-01-17 |
1922512821 | Amber Mckinney | Nurse Practitioner | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2017-11-30 |
1104330042 | Sophia Addrienne Pullen | Counselor | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2017-11-30 |
1205349362 | Dayton Pain Center LLC | Counselor | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2017-11-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780240788 | Access Hospital Dayton Lab LLC | Clinical Medical Laboratory | 2611 Wayne Ave Bldg 63, Dayton, OH 45420-1833 | 2019-05-15 |
1801368998 | Lucid Diagnostics Labs LLC | Clinical Medical Laboratory | 2611 Wayne Ave Ste 110, Dayton, OH 45420-1833 | 2018-12-30 |
1033578604 | Goldstar Laboratories Ohio LLC | Clinical Medical Laboratory | 4126 Linden Ave, Dayton, OH 45432-3018 | 2016-02-11 |
1407183031 | Far Hills Open Mri Inc | Clinical Medical Laboratory | 5529 Far Hills Ave, Dayton, OH 45429-2225 | 2009-11-03 |
1811172216 | Compunet Clinical Laboratories, LLC | Clinical Medical Laboratory | 999 Brubaker Dr Ste 1, Dayton, OH 45429-3556 | 2008-01-03 |
1093892028 | Trusted Health Care, Inc. | Clinical Medical Laboratory | 325 Regency Ridge Dr, Dayton, OH 45459-4252 | 2006-11-01 |
1710944053 | Premier Integrated Medical Associates, Ltd | Clinical Medical Laboratory | 948 Patterson Rd, Dayton, OH 45419-4336 | 2006-04-28 |
1689173254 | Laboratory Corporation On America Holdings | Clinical Medical Laboratory | 400 Sugar Camp Cir Ste 200, Dayton, OH 45409-1981 | 2018-02-08 |
1578061370 | Cornerstone Project | Clinical Medical Laboratory | 4124 Linden Ave Ste 100, Dayton, OH 45432-3018 | 2018-01-26 |
1669882478 | American Dermatopathology Laboratory, LLC | Clinical Medical Laboratory | 210a E Spring Valley Pike, Dayton, OH 45458-2653 | 2014-05-01 |
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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.