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TRI-STATE PAIN MANAGEMENT SERVICE INC NPI 1275705048


NPI Information

NPI: 1275705048
Provider Name: TRI-STATE PAIN MANAGEMENT SERVICE INC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
4415 AICHOLTZ RD
CINCINNATI, OH
ZIP 45245
Phone: (859) 341-7246
Get Directions

TRI-STATE PAIN MANAGEMENT SERVICE 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. TRI-STATE PAIN MANAGEMENT SERVICE INC NPI is 1275705048. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4415 AICHOLTZ RD
CINCINNATI, OH
ZIP 45245-506
Phone: (859) 341-7246
Fax: (859) 341-7867

The provider's authorized official is Jewell Ashley .
The authorized official title is Office Manager and has the following contact phone number (513) 624-7525.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 3/24/2020.


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
1363L00000XNurse PractitionerNo
2208VP0014XPain MedicineInterventional Pain MedicineYes

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
1610168000OTHERFEDERAL WORKERS COMP
25124498OTHERCIGNA
365944233MEDICAIDKENTUCKY
4200529320AMEDICAIDINDIANA
52044773MEDICAIDOHIO
6284941995017OTHERMEDICAL MUTUAL
7728014OTHERBUCKEYE

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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