DAYTON PAIN CENTER LLC (NPI# 1205349362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205349362 |
| Entity Type | Organization |
| Organization Name | DAYTON PAIN CENTER LLC |
| Other Organization Name | WRIGHT PATH RECOVERY |
| Practice Address |
1 Elizabeth Pl Ste D Dayton OH 45417-3445 |
| Practice Telephone | 9377238185 |
| Practice Fax Number | 9372229665 |
| Mailing Telephone | 9377238185 |
| Mailing Fax Number | 9372229665 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | ROBERT GRANT GOODWIN (PRACTICE MANAGER) |
| Authorized Official Telephone | 9375300291 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2442968 | 05 |
| Other Name | Type Code |
|---|---|
| Wright Path Recovery | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 331 6th Ave, Sidney, OH 453651040 | 9374979200 | 9374979300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417076803 | Dayton Pain Center LLC | Anesthesiology | 331 6th Ave, Sidney, OH 45365-1040 | 2007-03-28 |
| 1114425535 | Dayton Pain Center LLC | Clinical Medical Laboratory | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-01-31 |
| 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 |
| 1114425535 | Dayton Pain Center LLC | Clinical Medical Laboratory | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-01-31 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
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| 1407405830 | Baymark Health Services of Ohio | Clinic/Center | 4201 N Main St, Dayton, OH 45405-1624 | 2019-09-09 |
| 1750938130 | Communikare Behavior Health Services LLC | Clinic/Center | 1320 Woodman Dr, Dayton, OH 45432-3497 | 2019-08-21 |
| 1215428016 | Clinical Security and Logistics, Inc. | Clinic/Center | 1725 E 3rd St, Dayton, OH 45403 | 2018-05-29 |
| 1518157825 | Blue Mountain Counseling | Clinic/Center | 221 E Washington Ave, Dayton, WA 99328-1317 | 2007-08-01 |
| 1215919527 | Ats Behavioral Health Inc | Clinic/Center | 1320 Woodman Dr, Ste 100, Dayton, OH 45432-3497 | 2005-11-14 |
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| 1043863384 | Team Recovery Ohio, LLC | Clinic/Center | 1618 W Sylvania Ave, Toledo, OH 43612-1589 | 2019-07-16 |
| 1568926376 | Square One Health LLC | Clinic/Center | 620 W 44th St, Ashtabula, OH 44004-6812 | 2019-01-25 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1669942934 | Baymark Health Services of Ohio | Clinic/Center | 833 E Broad St Unit 1, Elyria, OH 44035-6557 | 2018-11-29 |
| 1841760113 | Baymark Health Services of Ohio | Clinic/Center | 36001 Euclid Ave Ste B1, Willoughby, OH 44094-4643 | 2018-11-29 |
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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.