OHIO STATE PAIN MANAGEMENT CENTER,LLC (NPI# 1568497774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568497774 |
| Entity Type | Organization |
| Organization Name | OHIO STATE PAIN MANAGEMENT CENTER,LLC |
| Other Organization Name | COLUMBUS INTERVENTIONAL PAIN CENTER |
| Practice Address |
3400 Olentangy River Rd Suite #100 Columbus OH 43202-1576 |
| Mailing Address |
7036 Corporate Way Dayton OH 45459-4237 |
| Practice Telephone | 6142627246 |
| Practice Fax Number | 6142624699 |
| Mailing Telephone | 9372536448 |
| Mailing Fax Number | 9372535971 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | DR. SACHIDA N MANOCHA (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6142627246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
35-082815 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000392176 | 01 |
| OH | 2843258 | 05 | |
| OH | FEDERAL WORKERS | 612459400 | 01 |
| OH | RRMEDICARE | DF6837 | 01 |
| Other Name | Type Code |
|---|---|
| COLUMBUS INTERVENTIONAL PAIN CENTER | Doing Business As Name - Organization |
| Street Address |
3400 OLENTANGY RIVER RD SUITE #100 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43202-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091594 | Michael Dale Brogan | Internal Medicine | 3400 Olentangy River Rd, Columbus, OH 43202-1576 | 2005-08-29 |
| 1902419930 | Antoniya Borislavova Robinson | Nurse Practitioner | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2020-08-28 |
| 1831721257 | Stephanie Joy Melton | Nurse Practitioner | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2020-02-05 |
| 1104392281 | Iryna V Miller | Neurological Surgery | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2018-10-16 |
| 1265943880 | Tyler Nathan Weaver | Registered Nurse | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2017-10-23 |
| 1902275787 | Shannon A Grime | Registered Nurse | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2015-09-22 |
| 1003220187 | Central Ohio Endoscopy Center, LLC | Clinic/Center | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2014-06-17 |
| 1265859243 | Patrick Chen | Internal Medicine | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2014-03-27 |
| 1760808596 | Amanda Rae Gayetsky | Physician Assistant | 3400 Olentangy River Rd, Columbus, OH 43202-1576 | 2014-03-18 |
| 1417397704 | Kori Nicole Devoll | Registered Nurse | 3400 Olentangy River Rd, Columbus, OH 43202-1576 | 2013-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391730 | Dominic Clouse | Pharmacist | Jameson Crane Sports Medicine Institute Pharmacy, 2835 Fred Taylor Drive, Columbus, OH 43202 | 2020-06-24 |
| 1609353218 | Attache Home Care, LLC | Home Health | 10 E. Weber Rd., Suite 202, Columbus, OH 43202 | 2018-07-26 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1578954764 | Andrew Burrows | Home Health Aide | 2564 Deming Ave, Columbus, OH 43202 | 2015-02-10 |
| 1245525559 | Kathryn Anne Richardson | Specialist/Technologist | 3430 Ohiohealth Parkway, Columbus, OH 43202 | 2011-06-15 |
| 1760777395 | Erin Vance | Pharmacist | 3430 Ohiohealth Pkwy, Columbus, OH 43202 | 2011-06-11 |
| 1588974083 | Cdi Long Term Care LLC | Pharmacy | 11 W Duncan St., Columbus, OH 43202 | 2010-10-18 |
| 1679880082 | Betty Jean Howard | Counselor | 42 Tompkins Avenue, Columbus, OH 43202 | 2010-09-07 |
| 1265657134 | Christina T. Liscynesky | Internal Medicine | 700 Ackerman Road, Suite 385, Columbus, OH 43202 | 2007-04-16 |
| 1275647364 | Lynne V. Abruzzo | Pathology | 680 Ackerman Rd, Room D423, Columbus, OH 43202 | 2006-08-18 |
| Find all providers in zip 43202 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790126084 | Hurricane Pain Management LLC | Anesthesiology | 174 Lake Bluff Dr, Columbus, OH 43235-4671 | 2013-07-15 |
| 1669500229 | Advanced Pain Management Surgery,inc | Anesthesiology | 4010 W Goeller Blvd, Suite C, Columbus, IN 47201-8892 | 2007-03-02 |
| 1346322179 | Richard Andrew Robertson | Anesthesiology | 2400 North Park, Suite 20, Columbus, IN 47203-4467 | 2006-10-20 |
| 1659303485 | Marcus Karlan Parker | Anesthesiology | 109 Shult Dr Ste 200, Columbus, TX 78934-3015 | 2006-07-06 |
| 1346296621 | Gladstone C Mcdowell II | Anesthesiology | 1210 Gemini Pl, Ste 300, Columbus, OH 43240-6109 | 2006-05-26 |
| 1366923898 | Premier Pain Solutions Pllc | Anesthesiology | 155 W Mills St Ste 204, Columbus, NC 28722-9462 | 2018-08-23 |
| 1427544667 | Capitol Pain of Ohio, LLC | Anesthesiology | 50 W Broad St Ste 1330, Columbus, OH 43215 | 2018-07-10 |
| 1568747731 | Columbus Spine Specialists LLC | Anesthesiology | 440 Industrial Mile Rd, Columbus, OH 43228-2411 | 2011-10-19 |
| 1255659256 | Adam Wayne Farris | Anesthesiology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2010-05-14 |
| 1891937934 | Jeffrey Robert Prinsell Jr. | Anesthesiology | 7351 Old Moon Rd, Columbus, GA 31909-7291 | 2009-04-06 |
| Find all providers in COLUMBUS | ||||
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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.