CLEVELAND BACK & PAIN MANAGEMENT CENTER INC. (NPI# 1669585428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669585428 |
| Entity Type | Organization |
| Organization Name | CLEVELAND BACK & PAIN MANAGEMENT CENTER INC. |
| Practice Address |
2307 W 14th St Cleveland OH 44113-3612 |
| Practice Telephone | 2166874003 |
| Practice Fax Number | 2166874069 |
| Mailing Telephone | 2166874003 |
| Mailing Fax Number | 2166874069 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | DR. JOHN HARVEY NICKELS (DIRECTOR/ OFFICER) |
| Authorized Official Telephone | 2166874003 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
35051581 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2802695 | 05 |
| Street Address |
2307 W 14TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548281413 | Deepak Raheja | Psychiatry & Neurology | 2307 W 14th St, Cleveland, OH 44113-3612 | 2006-07-23 |
| 1063869303 | Jane A Bondi | Physician Assistant | 2307 W 14th St, Cleveland, OH 44113-3612 | 2016-05-17 |
| 1245438308 | D Raheja Md Inc | Psychiatry & Neurology | 2307 W 14th St, Cleveland, OH 44113-3612 | 2007-07-10 |
| 1124117205 | Grace Hospital | Special Hospital | 2307 W 14th St, Cleveland, OH 44113-3612 | 2006-10-12 |
| 1629181490 | John Harvey Nickels | Anesthesiology | 2307 W 14th St, Cleveland, OH 44113-3612 | 2006-08-16 |
| 1225141096 | Linda L. Alberino | Multi-Specialty | 2307 W 14th St, Cleveland, OH 44113-3612 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| 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 |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1710916622 | Jerome B Yokiel | Anesthesiology | 4110 Warrensville Center Rd # A241, Cleveland, OH 44122-7024 | 2006-07-02 |
| 1922093087 | Halina M Podlipsky | Anesthesiology | 6701 Rockside Rd Ste 200, Cleveland, OH 44131-2316 | 2005-09-15 |
| 1891393716 | East Tennessee Pain Management Pllc | Anesthesiology | 137 25th St Ne, Cleveland, TN 37311-3944 | 2020-10-13 |
| 1720582976 | Paul E. Pinson Dba/pain and Spine Specialists | Anesthesiology | 3917 Georgetown Rd Nw, Cleveland, TN 37312 | 2018-03-22 |
| 1518278498 | Ilir Elias Veizi | Anesthesiology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2010-06-25 |
| 1841432077 | Jeffrey T Hopcian | Anesthesiology | 4367 Rocky River Dr, Cleveland, OH 44135-2517 | 2009-04-02 |
| 1598920886 | Aman Y Upadhyay | Anesthesiology | 11100 Euclid Ave., Cleveland, OH 44106-1716 | 2008-07-25 |
| 1700059458 | Robert Bolash | Anesthesiology | 9500 Euclid Ave # C25, Cleveland, OH 44195-0001 | 2008-04-02 |
| Find all providers in CLEVELAND | ||||
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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.