ADVANCED SPINE & PAIN MANAGEMENT INC NPI 1790881746

NPI Information

NPI: 1790881746
Provider Name: ADVANCED SPINE & PAIN MANAGEMENT INC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
7691 5 MILE RD
SUITE 10
CINCINNATI, OH
ZIP 45230
Phone: (513) 624-7246
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ADVANCED SPINE & PAIN MANAGEMENT INC is an interventional pain medicine pain medicine in Cincinnati, 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. ADVANCED SPINE & PAIN MANAGEMENT INC NPI is 1790881746. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7691 5 MILE RD
SUITE 10
CINCINNATI, OH
ZIP 45230-348
Phone: (513) 624-7246
Fax: (513) 624-6900

The provider's authorized official is Mukarram Ali Khan .
The authorized official title is President and has the following contact phone number (513) 624-7246.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 6/28/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health			No
2	208VP0000X	Pain Medicine	Pain Medicine	34.008823	OHIO	No
3	332B00000X	Durable Medical Equipment & Medical Supplies			OHIO	No
4	208VP0014X	Pain Medicine	Interventional Pain Medicine	34.008823	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00415701	OTHER	OHIO	RAILROAD MEDICARE
2	6226080	OTHER	OHIO	CIGNA
3	150730	OTHER	OHIO	NATIONWIDE
4	617433400	OTHER	OHIO	DEPT OF LABOR - MD
5	617433404	OTHER	OHIO	US DEPT OF LABOR - EATON OFFICE
6	000000488997	OTHER	OHIO	ANTHEM
7	617433403	OTHER	OHIO	US DEPT OF LABOR - SPRINGFIELD OFFICE
8	=========026	OTHER	OHIO	CARESOURCE
9	=========-00	OTHER	OHIO	BWC
10	617465100	OTHER	OHIO	DEPT. OF LABOR - APRN
11	617433406	OTHER	OHIO	US DEPT OF LABOR - SPRINGBORO OFFICE
12	2679703	MEDICAID	OHIO
13	296827989001	OTHER		MEDICAL MUTUAL
14	317306	OTHER	OHIO	AMERIGROUP
15	7100287020 -NP GROUP	MEDICAID	KENTUCKY
16	7100315340 - MD GRP	MEDICAID	KENTUCKY
17	6452140001	MEDICARE NSC	OHIO
18	K091900	MEDICARE PIN	KENTUCKY
19	9363141	MEDICARE PIN	OHIO
20	7100240230 MD GRP #	MEDICAID	OHIO

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

NPI Synchronization or Removal

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