TRI-STATE PAIN MANAGEMENT SERVICE INC


Address: 4900 Houston Rd, Florence, KY 41042-4824
Phone: 8593417246

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Other Provider IDs and Locations

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

Office Location

Street Address 4900 HOUSTON RD
City FLORENCE
State KY
Zip Code 41042-4824

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City FLORENCE
Zip Code 41042

Improve Information

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Dataset Information

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.

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