TRI-STATE PAIN MANAGEMENT SERVICE INC (NPI# 1457621898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457621898 |
Entity Type | Organization |
Organization Name | TRI-STATE PAIN MANAGEMENT SERVICE INC |
Practice Address |
4900 Houston Rd Florence KY 41042-4824 |
Mailing Address |
# L-6067 Cincinnati OH 45270-0001 |
Practice Telephone | 8593417246 |
Practice Fax Number | 8593417867 |
Mailing Telephone | 8593417246 |
Mailing Fax Number | 8593417867 |
Enumeration Date | 2012-01-03 |
Last Update Date | 2012-03-20 |
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 |
---|---|---|---|
CIGNA | 5124498 | 01 | |
OH | 2044773 | 05 | |
HEALTHNET | 284941995 | 01 | |
BUREAU OF WORKERS COMP | 28494199500 | 01 | |
IN | 200377720 | 05 | |
KY | 65944233 | 05 | |
ANTHEM | 000000388145 | 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 |
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 |
1861625618 | Tri-state Pain Management Service Inc | Pain Medicine | 7700 University Dr, West Chester, OH 45069-2505 | 2009-08-27 |
Street Address |
4900 HOUSTON RD |
City | FLORENCE |
State | KY |
Zip Code | 41042-4824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619969904 | Dwayne V Smith | Surgery | 4900 Houston Rd, Florence, KY 41042-4824 | 2005-08-22 |
1104443332 | Teanna Nichole Nixon | Pharmacist | 4900 Houston Rd, Florence, KY 41042-4824 | 2020-07-04 |
1245855311 | Molly Robbins | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2020-06-14 |
1912533191 | Emily Lodwick | Pharmacist | 4900 Houston Rd, Florence, KY 41042-4824 | 2020-03-19 |
1164060455 | Lynne Ann Webb | Case Manager/Care Coordinator | 4900 Houston Rd, Florence, KY 41042-4824 | 2019-12-17 |
1063930790 | Brittany M Diehl | Dietitian, Registered | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-09-01 |
1275066953 | Rachel Wagner | Dietitian, Registered | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-04-10 |
1568901478 | Keri Sands | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-02-13 |
1710425731 | Cherie Tewes Page | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-02-09 |
1902344203 | David Montgomery I | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-02-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
Find all providers in zip 41042 |
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 |
---|---|---|---|---|
1528596202 | Florence Pain Solutions LLC | Pain Medicine | 491 W Cheves St Ste C, Florence, SC 29501-4407 | 2017-05-25 |
1811231954 | Robert J Klickovich Md | Pain Medicine | 47 Cavalier Blvd, Suite 100, Florence, KY 41042-3969 | 2012-11-15 |
1306801840 | Florence Neurosurgery and Spine PC | Pain Medicine | 1204 E Cheves St, Florence, SC 29506-2710 | 2006-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
1346766441 | Integrated Pain Management of Kentucky LLC | Pain Medicine | 210 Thomas More Pkwy Ste B, Crestview Hills, KY 41017-3429 | 2017-08-21 |
1578981718 | Restore Rehabilitation | Pain Medicine | 6400 Dutchmans Pkwy Ste 80, Louisville, KY 40205-3340 | 2014-04-04 |
1508201898 | Center for Pain Management | Pain Medicine | 440 B High St, Bowling Green, KY 42101 | 2013-05-01 |
1689994154 | Cumberland Brain and Spine, Pllc | Pain Medicine | 1641 Scottsville Rd, Bowling Green, KY 42104-3244 | 2010-06-08 |
1235358243 | Gary L Reasor, Md P.s.c | Pain Medicine | 4121 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 | 2007-04-25 |
1407995517 | Cassari Pain Treatment Center Inc | Pain Medicine | 4010 Dupont Circle #430, Louisville, KY 40207 | 2007-02-05 |
1922186378 | Tri-state Advanced Pain Management Pllc | Pain Medicine | 3332 Villa Pt Ste 104, Owensboro, KY 42303-7818 | 2006-11-02 |
1164518080 | David P Bosomworth II | Pain Medicine | 279 Kings Daughters Dr Ste 100, Frankfort, KY 40601 | 2006-10-05 |
1639263338 | Bluegrass Pain Management, Psc | Pain Medicine | 1760 Nicholasville Road, Suite 503, Lexington, KY 40503 | 2006-10-03 |
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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.