TRI-STATE PAIN MANAGEMENT SERVICE INC


Address: 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379
Phone: 8593417246

TRI-STATE PAIN MANAGEMENT SERVICE INC (NPI# 1528230380) 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) 1528230380
Entity Type Organization
Organization Name TRI-STATE PAIN MANAGEMENT SERVICE INC
Practice Address 3050 Mack Rd
Suite 200
Fairfield
OH 45014-5379
Mailing Address L-6067
Cincinnati
OH 45270-6067
Practice Telephone 8593417246
Practice Fax Number 8593417867
Mailing Telephone 8593417246
Mailing Fax Number 8593417867
Enumeration Date 2008-04-01
Last Update Date 2008-04-20
Authorized Official Name 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
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MEDICAL MUTUAL 284941995015 01
CIGNA 5124498 01
BUCKEYE 728014 01
KY 65944233 05
OH 2044773 05

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
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

Office Location

Street Address 3050 MACK RD
SUITE 200
City FAIRFIELD
State OH
Zip Code 45014-5379

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780688275 Oncology/ Hematology Care, Inc. Internal Medicine 3050 Mack Rd, Suite 300, Fairfield, OH 45014-5379 2005-06-13
1033676739 Emily Marie Sillies Dietitian, Registered 3050 Mack Rd, Fairfield, OH 45014-5379 2019-02-28
1154817005 Haley Schlottmann Nurse Practitioner 3050 Mack Rd, Fairfield, OH 45014-5379 2018-07-03
1992101661 Mercy Health Physicians Cincinnati, LLC Internal Medicine 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379 2014-11-07
1922411966 Kevin Rock Physical Therapist 3050 Mack Rd, Fairfield, OH 45014-5379 2014-06-07
1073945267 Kelly M. Pitzer Physician Assistant 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379 2013-07-30
1912341231 Esineya N Chigaga Pediatrics 3050 Mack Rd, Ml 11032, Fairfield, OH 45014-5379 2013-04-18
1609163260 Nicholas Brand Pleat Internal Medicine 3050 Mack Rd, Fairfield, OH 45014-5379 2011-07-05
1437444981 Douglas Benjamin Berg Surgery 3050 Mack Rd, Suite 310, Fairfield, OH 45014-5379 2011-06-13
1932337649 Heeran Abawi Family Medicine 3050 Mack Rd, Ste 205, Fairfield, OH 45014-5379 2009-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326526872 Megan Coleen Hamill Registered Nurse 6570 Sosna Drive, Fairfield, OH 45014 2018-08-06
1831695642 James Grant Walther Contractor 16408 Jeanie Drive, Aurora, IN 45014 2018-04-02
1104339837 Tamara Rochester Registered Nurse 5474 Yellowstone Dr, Fairfield, OH 45014 2017-11-16
1104335892 Barbara Johnson Registered Nurse 2853 Saturn Drive, Fairfield, OH 45014 2017-09-25
1205373537 Samuel E Ghee IIi Counselor Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 2017-01-25
1669916789 Lacretia Ancona In Home Supportive Care 700 Wessel Dr #181505, Fairfield, OH 45014 2016-12-08
1134676299 Lynne Mutuku Licensed Practical Nurse 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 2016-09-07
1104291020 Mimi Supportive Hands .llc Home Health 6 Ridge Dr Apt 203, Cincinnati, OH 45014 2015-12-03
1215319181 Brittany Beck Social Worker 3050 Mack Rd Ste 205, Fairfield, OH 45014 2015-06-26
1093193278 Ashli Tanner Specialist/Technologist 8790 N. Gilmore Rd., Fairfield, OH 45014 2015-05-08
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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.

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NPI Name Taxonomy Address Enumeration
1386256378 Pain & Spine Specialists of Connecticut, LLC Pain Medicine 75 Kings Highway Cutoff Ste 3a, Fairfield, CT 06824-5340 2020-08-20

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City FAIRFIELD
Zip Code 45014

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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