PEDIATRIC PAIN CARE LLC (NPI# 1922337054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922337054 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PAIN CARE LLC |
| Other Organization Name | CENTER FOR PEDIATRIC & ADOLESCENT PAIN CARE |
| Practice Address |
5060 Bradenton Ave Suite B Dublin OH 43017-3511 |
| Mailing Address |
3982 Powell Rd Ste 271 Powell OH 43065-7662 |
| Practice Telephone | 6148896422 |
| Practice Fax Number | 6144538863 |
| Mailing Telephone | 6148896422 |
| Mailing Fax Number | 6144538863 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | MICHAEL JOSEPH (PRESIDENT) |
| Authorized Official Telephone | 6147473394 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Pediatric & Adolescent Pain Care | Doing Business As Name - Organization |
| Street Address |
5060 BRADENTON AVE SUITE B |
| City | DUBLIN |
| State | OH |
| Zip Code | 43017-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649221888 | Ernest Debourbon | Surgery | 5060 Bradenton Ave, Suite B, Dublin, OH 43017-3511 | 2006-05-12 |
| 1245540087 | Carl Wayne Grody | Social Worker | 5060 Bradenton Ave, Suite B, Dublin, OH 43017-3511 | 2010-10-14 |
| 1114071537 | Robert E. Fathman | Psychologist | 5060 Bradenton Ave, Ste. A, Dublin, OH 43017-3511 | 2007-01-23 |
| 1073607909 | Michael Henry Joseph | Pediatrics | 5060 Bradenton Ave, Suite B, Dublin, OH 43017-3511 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770048894 | Teresa O'connell | Dermatology | Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 | 2019-02-02 |
| 1356814560 | Trishaya Spain-austin | Behavior Technician | 545 Metro Place North, Suite 100, Dublin, OH 43017 | 2019-01-10 |
| 1669955902 | Tamara Moss | Occupational Therapist | 10516 Sawmill Road, Suite B, Dublin, OH 43017 | 2018-09-12 |
| 1548753692 | Complex Wound Consultant L.L.C. | Surgery | 5712 Southby Ct, Dublin, OH 43017 | 2018-06-13 |
| 1063916948 | Enabling Recovery LLC | Community/Behavioral Health | 5945 Sawmill Rd Ste B, Dublin, OH 43017 | 2018-03-23 |
| 1750898839 | Inner Health Chiropractic, Inc | Chiropractor | 220 West Bridge, Inner Health Chiropractic, Dublin, OH 43017 | 2018-01-10 |
| 1598274144 | Catherine Ann Albrecht | Case Manager/Care Coordinator | 525 Metro Place N., Dublin, OH 43017 | 2017-09-27 |
| 1346769338 | Rachel Mary Baldwin | Speech-Language Pathologist | 9892 Macdonald Dr., Dublin, OH 43017 | 2017-09-12 |
| 1629596275 | Julie Battaglia | Counselor | 525 Metro Place, Suite 100, Dublin, OH 43017 | 2017-09-05 |
| 1205365541 | Tracey Lechner | Speech-Language Pathologist | 7424 Coventry Woods Drive, Dublin, OH 43017 | 2017-06-09 |
| Find all providers in zip 43017 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912392135 | Theodore Chou | Pediatrics | 4050 Dublin Blvd Fl 1, Dublin, CA 94568 | 2015-04-03 |
| 1730332503 | Ilona Brener Albrecht | Pediatrics | 4335 W. Dublin-granville Rd., Dublin, OH 43017 | 2008-10-24 |
| 1710167473 | Drew Moorman | Pediatrics | 104 Fairview Park Dr Ste 200, Dublin, GA 31021 | 2007-11-10 |
| 1639236102 | Rivers Edge Pediatrics Inc | Pediatrics | 100 N High Street, Suite A, Dublin, OH 43017 | 2007-01-03 |
| 1639234073 | Michael Carl Loar | Pediatrics | 5110 Blazer Pkwy, Dublin, OH 43017-1339 | 2006-12-26 |
| 1154483089 | Charles Michael Goddard II | Pediatrics | 7275 Sawmill Road, Northwest Pediatrics, Inc., Dublin, OH 43016 | 2006-12-15 |
| 1184721094 | Surendranath Kavuri | Pediatrics | 112 Rowe Street, Dublin, GA 31021 | 2006-09-20 |
| 1851498398 | Childrens Choice, P.C. | Pediatrics | 5562 Cougar Trail Road, Dublin, VA 24084 | 2006-09-19 |
| 1033228226 | Northwest Pediatrics, Inc. | Pediatrics | 7275 Sawmill Rd, Dublin, OH 43016-9021 | 2006-08-30 |
| 1679584726 | Kannan Vaidyanathan | Pediatrics | 112 Rowe St, Dublin, GA 31021 | 2006-08-11 |
| Find all providers in DUBLIN | ||||
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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.