TRI-STATE PAIN MANAGEMENT SERVICE INC (NPI# 1770565954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770565954 |
| Entity Type | Organization |
| Organization Name | TRI-STATE PAIN MANAGEMENT SERVICE INC |
| Other Organization Name | INTERVENTIONAL SPINE SPECIALISTS |
| Practice Address |
7655 Five Mile Rd Ste 117 Cincinnati OH 45230 |
| Mailing Address |
7655 5 Mile Rd Ste 117 Cincinnati OH 45230-4326 |
| Practice Telephone | 8593417246 |
| Practice Fax Number | 5136240578 |
| Mailing Telephone | 5136247525 |
| Mailing Fax Number | 5136240578 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | JEWELL ASHLEY (OFFICE MANAGER) |
| Authorized Official Telephone | 5136247525 |
| 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 |
|---|---|---|---|
| ANTHEM | 000000388145 | 01 | |
| CIGNA | 5124498 | 01 | |
| BUCKEYE | 728014 | 01 | |
| OH | 2044773 | 05 | |
| KY | 65944233 | 05 | |
| IN | 200529320A | 05 |
| Other Name | Type Code |
|---|---|
| Interventional Spine Specialists | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1861625618 | Tri-state Pain Management Service Inc | Pain Medicine | 7700 University Dr, West Chester, OH 45069-2505 | 2009-08-27 |
| Street Address |
7655 FIVE MILE RD STE 117 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972676807 | David Russell Oliver | Dentist | 7655 Five Mile Rd, Cincinnati, OH 45230 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552904 | Alexis Lynne Cranley | Speech-Language Pathologist | 6421 Corbly Street, Cincinnati, OH 45230 | 2020-09-10 |
| 1942762141 | Donnita Alane Hogan | Home Health Aide | 1839 Beacon Street Apt 105, Cincinnati, OH 45230 | 2019-04-05 |
| 1427590751 | Stefanie Domanico | Nurse Anesthetist, Certified Registered | 2544 Spindlehill Dr, Apt 5, Cincinnati, OH 45230 | 2016-11-17 |
| 1780072561 | Jessica A Macdonald | Clinical Neuropsychologist | 8000 5 Mile Rd Ste 330, Cincinnati, OH 45230 | 2015-01-02 |
| 1497095277 | Abigail Lynne Holbrook | Obstetrics & Gynecology | 8000 5 Mile Rd Ste 250, Cincinnati, OH 45230 | 2013-02-15 |
| 1649556069 | Neil A Rush | Pharmacist | 2203 Beechmont, Cincinnati, OH 45230 | 2011-10-31 |
| 1144411638 | Karla Kay Imbus | Physician Assistant | 7655 Five Mile Road, Suite 117, Cincinnati, OH 45230 | 2007-08-08 |
| 1972631273 | Trihealth G., LLC | Allergy & Immunology | 7810 Five Mile Rd, Cincinnati, OH 45230 | 2007-03-01 |
| 1548312093 | Eye - Tech Opt Inc | Technician/Technologist | 2057 Beechmont Ave, Cincinnati, OH 45230 | 2007-01-17 |
| 1851442289 | Terry Sky Glendening | Psychologist | 1080 Nimitzview Dr, Suite 200, Cincinnati, OH 45230 | 2007-01-13 |
| Find all providers in zip 45230 | ||||
| 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 |
|---|---|---|---|---|
| 1659353829 | Sairam L Atluri | Pain Medicine | 7655 5 Mile Rd Ste 117, Cincinnati, OH 45230-4326 | 2005-11-15 |
| 1134550098 | Advanced Pain and Spine Institute and Health and Wellness Center of Ci | Pain Medicine | 9600 Montgomery Rd, Cincinnati, OH 45242-7246 | 2013-12-03 |
| 1134416886 | Western Hills Interventional Pain LLC | Pain Medicine | 3860 Race Rd Ste 203, Cincinnati, OH 45211-4307 | 2011-07-01 |
| 1518252691 | Comprehensive Pain Solutions, LLC | Pain Medicine | 3328 Westbourne Dr, Cincinnati, OH 45248-5133 | 2011-06-16 |
| 1629209820 | Cincinnati Pain Management Center, LLC | Pain Medicine | 5240 E Galbraith Rd, Cincinnati, OH 45236-2822 | 2009-08-05 |
| 1518112317 | Medrx, LLC | Pain Medicine | 8000 5 Mile Rd, Suite 335, Cincinnati, OH 45230-2163 | 2008-11-20 |
| 1174798441 | Comprehensive Headache and Pain Solutions LLC | Pain Medicine | 11123 Montgomery Rd, Suite 202, Cincinnati, OH 45249-2389 | 2008-04-28 |
| 1942472725 | Tri-state Pain Management Service Inc | Pain Medicine | 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 2008-04-01 |
| 1386816148 | Tri-state Pain Management Services Inc | Pain Medicine | 9250 Blue Ash Rd, Cincinnati, OH 45242-6822 | 2008-04-01 |
| 1245402015 | Tri-state Pain Management Service Inc | Pain Medicine | 4020 Smith Rd, Cincinnati, OH 45209-1936 | 2008-04-01 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45230 |
Please comment or provide details below to improve the information on TRI-STATE PAIN MANAGEMENT SERVICE INC.
| 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.