DAYTON PAIN CENTER LLC (NPI# 1063641272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063641272 |
| Entity Type | Organization |
| Organization Name | DAYTON PAIN CENTER LLC |
| Practice Address |
9000 N Main St Dayton OH 45415-1180 |
| Mailing Address |
1 Elizabeth Pl Ste D Dayton OH 45408-1445 |
| Practice Telephone | 9372222233 |
| Mailing Telephone | 9372222233 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |
| Authorized Official Name | INDIRA REDDY (BUSINESS MANAGER) |
| Authorized Official Telephone | 9372222233 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | DAYTON PAIN CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
35035932R | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417076803 | Dayton Pain Center LLC | Anesthesiology | 331 6th Ave, Sidney, OH 45365-1040 | 2007-03-28 |
| 1114425535 | Dayton Pain Center LLC | Clinical Medical Laboratory | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2018-01-31 |
| 1205349362 | Dayton Pain Center LLC | Counselor | 1 Elizabeth Pl Ste D, Dayton, OH 45417-3445 | 2017-11-13 |
| 1962663765 | Dayton Pain Center LLC | Anesthesiology | 1250 National Rd, Ste 100 B, Clayton, OH 45315-9505 | 2008-06-24 |
| 1790730638 | Dayton Pain Center LLC | Clinic/Center | 1 Elizabeth Pl, Ste#d, Dayton, OH 45417 | 2006-05-22 |
| Street Address |
9000 N MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425443 | Abdelhamed I Abdelhamed | Internal Medicine | 9000 N Main St, Ste 101, Dayton, OH 45415-1180 | 2005-05-31 |
| 1952893299 | Alan Ayette | Pharmacy | 9000 N Main St, Mvhn Inpatient Pharmacy, Dayton, OH 45415 | 2018-06-02 |
| 1689165896 | Bonnie Homan Tangeman | Pharmacist | 9000 N Main St, Dayton, OH 45415-1180 | 2018-05-23 |
| 1275022709 | Karen Ann Hartman | Pharmacist | 9000 N Main St, Retail Pharmacy, Dayton, OH 45415 | 2018-05-10 |
| 1699177329 | Christopher Groff | Physician Assistant | 9000 N Main St, Ste 227, Dayton, OH 45415-1180 | 2014-09-25 |
| 1609297134 | Pfdental Reddy Inc | Dentist | 9000 N Main St, Ste 207, Dayton, OH 45415-1180 | 2013-12-31 |
| 1497190029 | Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | 9000 N Main St, Suite 203, Dayton, OH 45415-1180 | 2013-05-09 |
| 1518209618 | Samaritan Family Care Inc | Family Medicine | 9000 N Main St, Ste 238, Dayton, OH 45415-1180 | 2013-03-27 |
| 1912246034 | Samaritan Family Care, Inc | Surgery | 9000 N Main St, Dayton, OH 45415-1180 | 2013-02-08 |
| 1013272616 | Carla Renee King | Advanced Practice Midwife | 9000 N Main St, Suite 232, Dayton, OH 45415-1180 | 2012-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341911 | Laila Ibrahim Gomaa | Anesthesiology | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2005-07-26 |
| 1922375179 | Dayton Regional Pain Management, LLC | Anesthesiology | 1 Wyoming St, Dayton, OH 45409-2722 | 2011-11-16 |
| 1124298443 | Prime Health Medical Services | Anesthesiology | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2008-03-03 |
| 1316135585 | Amol Soin | Anesthesiology | 7076 Corporate Way, Suite 201, Dayton, OH 45459-4281 | 2007-10-11 |
| 1902097280 | Dayton Osteopathic Hospital | Anesthesiology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2007-08-05 |
| 1356414957 | Mervet K Saleh | Anesthesiology | 1235 E Alex Bell Rd, Dayton, OH 45459-2658 | 2006-11-15 |
| 1164594834 | Ohio Institute for Comprehensive Pain Management, Inc. | Anesthesiology | 1235 E Alex Bell Rd, Dayton, OH 45459-2658 | 2006-11-15 |
| 1154404440 | Townsend Smith IIi | Anesthesiology | 1 Wyoming St, Dayton, OH 45409-2722 | 2006-10-23 |
| 1396835286 | Anjana Kundu | Anesthesiology | One Children's Plaza, Children's Anesthesia Group, Inc., Dayton, OH 45404-1815 | 2006-10-13 |
| 1124123419 | Deborah L Coates | Anesthesiology | 1074 Patterson Rd, Dayton, OH 45420-1522 | 2006-09-13 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on DAYTON PAIN CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.