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PAIN MANAGEMENT ASSOCIATION LLC NPI 1780772079


NPI Information

NPI: 1780772079
Provider Name: PAIN MANAGEMENT ASSOCIATION, LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
6025 COMMERCE CIR
#2
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 944-1414
Get Directions

PAIN MANAGEMENT ASSOCIATION, LLC is an interventional pain medicine pain medicine in Willoughby, OH. The provider is 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. PAIN MANAGEMENT ASSOCIATION, LLC NPI is 1780772079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6025 COMMERCE CIR
#2
WILLOUGHBY, OH
ZIP 44094-668
Phone: (440) 944-1414
Fax: (440) 944-1445

The provider's authorized official is David Anthony Demangone .
The authorized official title is President and has the following contact phone number (440) 944-1414.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain Medicine35071438DOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13016640MEDICAIDOHIO
26378430001MEDICARE NSCOHIO
39344161MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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