ANESTHESIOLOGISTS D.O., INC (NPI# 1417270885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417270885 |
| Entity Type | Organization |
| Organization Name | ANESTHESIOLOGISTS D.O., INC |
| Other Organization Name | DOCTORS PAIN CLINIC |
| Practice Address |
4665 Douglas Cir Nw Suite 101 Canton OH 44718-3673 |
| Mailing Address |
1011 Boardman Canfield Rd Youngstown OH 44512-4226 |
| Practice Telephone | 3304947246 |
| Practice Fax Number | 3304948330 |
| Mailing Telephone | 3306292888 |
| Mailing Fax Number | 3306298940 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |
| Authorized Official Name | DR. TRACY LEE NEUENDORF (PRESIDENT / CEO) |
| Authorized Official Telephone | 3306292888 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0311344 | 05 |
| Other Name | Type Code |
|---|---|
| Doctors Pain Clinic | Doing Business As Name - Organization |
| Street Address |
4665 DOUGLAS CIR NW SUITE 101 |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669422747 | Kristi L Pielstick | Anesthesiology | 4665 Douglas Cir Nw, Suite 101, Canton, OH 44718-3673 | 2006-05-11 |
| 1669923389 | Jason Legg | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718-3673 | 2016-10-18 |
| 1316496433 | Holly Mohn | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Canton, OH 44718-3673 | 2016-09-30 |
| 1003365115 | Sarah Gomez | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Canton, OH 44718-3673 | 2016-09-30 |
| 1649629767 | Jacquelyn Marshall | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718-3673 | 2016-06-09 |
| 1114384021 | Michele Moneypenny | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718-3673 | 2016-01-22 |
| 1023474012 | Amanda G Weaver | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, #100, Canton, OH 44718 | 2016-01-07 |
| 1700255767 | Christine Lorenz | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Canton, OH 44718-3673 | 2015-09-21 |
| 1124361720 | Michael John O'brien | Anesthesiology | 4665 Douglas Cir Nw, Canton, OH 44718-3673 | 2013-04-02 |
| 1306192794 | Zaheer A Shah Md Inc | Plastic Surgery | 4665 Douglas Cir Nw, Suite 103, Canton, OH 44718-3673 | 2012-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| 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 |
|---|---|---|---|---|
| 1881665248 | Steven M Lobel | Pain Medicine | 320 Hospital Rd, Canton, GA 30114-2432 | 2006-02-01 |
| 1003264532 | Interventional Spine & Pain Management Center, PC | Pain Medicine | 2205 Riverstone Blvd, Suite 101, Canton, GA 30114-5227 | 2016-05-25 |
| 1720443252 | Interventional Spine and Pain Mangement Center, PC | Pain Medicine | 134 Riverstone Ter, Suite 101, Canton, GA 30114-1706 | 2015-12-29 |
| 1083057392 | Meghan Elizabeth Nein | Pain Medicine | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2013-04-17 |
| 1114053287 | Adel M Zakari | Pain Medicine | 4368 Dressler Rd Nw, Suite 201a, Canton, OH 44718-2771 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518379205 | Ips Asc, LLC | Pain Medicine | 1210 Gemini Pl Ste 301, Columbus, OH 43240-6112 | 2014-05-29 |
| 1407296650 | Dili Dhanani | Pain Medicine | 222 N 5th St Ste 203, Martins Ferry, OH 43935-1582 | 2013-07-02 |
| 1760829303 | Cleveland Medical Institute, LLC | Pain Medicine | 6025 Commerce Cir # 2, Willoughby, OH 44094-9668 | 2013-05-22 |
| 1861764250 | Ferguson Chiropractic Solutions LLC | Pain Medicine | 7058 Dayton Rd, Enon, OH 45323-1439 | 2012-02-01 |
| 1235469768 | Tri-state Pain Management Service Inc | Pain Medicine | 3020 Hospital Dr Ste 200, Batavia, OH 45103-1923 | 2010-01-06 |
| 1982727061 | Charlies I. Choi Md, Inc | Pain Medicine | 902 Westpoint Pkwy, Suite 330, Westlake, OH 44145-1534 | 2007-04-06 |
| 1891848776 | Professional Anesthesia Associates, Inc. | Pain Medicine | 605 S Trimble Rd Ste B, Mansfield, OH 44906-4112 | 2007-01-22 |
| 1629131222 | Warrensville Physical Medicine & Chiropractic Rehabilitation, LLC | Pain Medicine | 4919 Warrensville Center Rd, Warrensville Hts, OH 44128 | 2006-12-18 |
| 1194883926 | Delta Pain Consultants, Inc. | Pain Medicine | 4602 Sawmill Rd, Columbus, OH 43220-2247 | 2006-12-05 |
| 1154491611 | Tim Chowdhury | Pain Medicine | 7211 Sawmill Rd, Suite A, Dublin, OH 43016-5008 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
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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.