TRI-STATE PAIN MANAGEMENT SERVICE INC (NPI# 1275705048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275705048 |
| Entity Type | Organization |
| Organization Name | TRI-STATE PAIN MANAGEMENT SERVICE INC |
| Practice Address |
4415 Aicholtz Rd Cincinnati OH 45245-1506 |
| Mailing Address |
7655 5 Mile Rd Ste 117 Cincinnati OH 45230-4326 |
| Practice Telephone | 8593417246 |
| Practice Fax Number | 8593417867 |
| Mailing Telephone | 5136247525 |
| Mailing Fax Number | 5136240578 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | JEWELL ASHLEY (OFFICE MANAGER) |
| Authorized Official Telephone | 5136247525 |
| 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 |
|---|---|---|---|
| FEDERAL WORKERS COMP | 610168000 | 01 | |
| CIGNA | 5124498 | 01 | |
| KY | 65944233 | 05 | |
| IN | 200529320A | 05 | |
| OH | 2044773 | 05 | |
| MEDICAL MUTUAL | 284941995017 | 01 | |
| BUCKEYE | 728014 | 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 |
| 1114258142 | Tri-state Pain Management Service Inc | Nurse Practitioner | 8250 Kenwood Crossing Way, Ste 101, Cincinnati, OH 45236 | 2010-01-14 |
| 1508190794 | Tri-state Pain Management Service Inc | Nurse Practitioner | 8250 Kenwood Crossing Way, Cincinnati, OH 45236-3668 | 2009-09-22 |
| Street Address |
4415 AICHOLTZ RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45245-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746301 | Todd R. Bricking | Emergency Medicine | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2005-08-02 |
| 1255768107 | Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2013-10-08 |
| 1265541049 | Eastgate Radiation Oncology LLC | Radiology | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2006-08-29 |
| 1952340903 | Kevin R Ackley | Emergency Medicine | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2006-06-05 |
| 1316999337 | Eastgate Cancer Center LLC | Radiology | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2006-05-17 |
| 1538122957 | Surgery Center of Cincinnati, LLC | Clinic/Center | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797792 | Nguyen Dentists of Eastgate, PC, Inc | Dentist | 880 Eastgate North Dr., Suite 101, Cincinnati, OH 45245 | 2019-12-18 |
| 1245871896 | Jacqueline Marie Dunker | Pharmacist | Walmart Pharmacy 1443, 4370 Eastgate Square Drive, Cincinnati, OH 45245 | 2019-10-04 |
| 1134785389 | Cei Physicians P.s.c., LLC | Clinic/Center | 601 Ivy Gateway, Suite 302, Cincinnati, OH 45245 | 2019-05-14 |
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1902387335 | Sarah Joy Martinez | Occupational Therapy Assistant | 4300 Glen Este-withamsville Rd, Cincinnati, OH 45245 | 2018-08-23 |
| 1376051979 | Starline Investments Inc | Ambulance | 3226 Omni Dr, Cincinnati, OH 45245 | 2018-01-17 |
| 1255842084 | Trilogy Healthcare of Clermont, LLC | Skilled Nursing Facility | 4300 Gleneste-withamsville Road, Cincinnati, OH 45245 | 2017-10-19 |
| 1467974303 | Christabel Ngwepegue Nyam | Licensed Practical Nurse | 4110 Long Acres Dr, Cincinnati, OH 45245 | 2017-07-12 |
| 1518493683 | Melody Sue King | Nursing Facility/Intermediate Care Facility | 822 Youngs Lane, Cincinnati, OH 45245 | 2017-05-10 |
| 1558715789 | Yael Joseph Garcia | Dentist | 880 Eastgate N Dr., Ste 101, Cincinnati, OH 45245 | 2016-04-13 |
| Find all providers in zip 45245 | ||||
| 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 | 45245 |
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.