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DAYTON PAIN CENTER LLC NPI 1962663765


NPI Information

NPI: 1962663765
Provider Name: DAYTON PAIN CENTER LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 36D0872306

Address:
1250 NATIONAL RD
STE 100 B
CLAYTON, OH
ZIP 45315
Phone: (937) 222-2233
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DAYTON PAIN CENTER LLC is a pain medicine anesthesiology in Clayton, OH. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DAYTON PAIN CENTER LLC NPI is 1962663765. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1250 NATIONAL RD
STE 100 B
CLAYTON, OH
ZIP 45315-505
Phone: (937) 222-2233
Fax: (937) 222-9665

The provider's authorized official is Indira Reddy .
The authorized official title is Practice Manager and has the following contact phone number (937) 222-2233.

The CLIA number assigned to this NPI record is 36D0872306 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 6/24/2008.


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
1207LP2900XAnesthesiologyPain 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
1DA9338711MEDICARE PINOHIO
22442968MEDICAIDOHIO

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: 11/14/2023

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