MIDWEST SPINE INTERVENTIONALISTLLC NPI 1407975493

NPI Information

  • NPI: 1407975493
  • Provider Name: MIDWEST SPINE INTERVENTIONALIST,LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Doing Business As: INTERVENTIONAL SPINE & PAIN CENTER
  • Address: 578 N MAIN ST
    SPRINGBORO, OH
    ZIP 45066
  • Phone: (937) 619-0724

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NPI Details

MIDWEST SPINE INTERVENTIONALIST,LLC is an interventional pain medicine pain medicine in Springboro, 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. MIDWEST SPINE INTERVENTIONALIST,LLC NPI is 1407975493. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Interventional Spine & Pain Center.

The provider's business location address is:

578 N MAIN ST
SPRINGBORO, OH
ZIP 45066-552
Phone: (937) 619-0724
Fax: (937) 619-0400

The provider's authorized official is Vivekanand Manocha .
The authorized official title is Owner and has the following contact phone number (937) 619-0724.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 10/1/2021.

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
1208VP0014XPain MedicineInterventional Pain Medicine35-087792OHIOYes

What is NPI?

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This page was last updated on: 11/21/2025

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