Tri-State Pain Management Service Inc in Cincinnati - Nurse Practitioner
Tri-State Pain Management Service Inc - NPI 1275705048
Tri-State Pain Management Service Inc is a Nurse Practitioner in Cincinnati, Ohio. Tri-State Pain Management Service Inc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tri-State Pain Management Service Inc is 1275705048. The last update date is 2020-03-24.
Tri-State Pain Management Service Inc's current location address is 4415 Aicholtz Rd, Cincinnati, Ohio. You can contact this provider via phone number 8593417246 and fax number 8593417867. The mailing address for Tri-State Pain Management Service Inc is 4415 Aicholtz Rd, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri-State Pain Management Service Inc |
|---|---|
| Address | 4415 Aicholtz Rd, Cincinnati, Ohio |
| Phone Number | 8593417246 |
| Fax Number | 8593417867 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Ashley Jewell |
| Telephone Number | 5136247525 |
NPI Number Detail
| NPI Number | 1275705048 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2020-03-24 |
Provider Mailing Address Detail
| Address | 4415 Aicholtz Rd |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452451506 |
| Phone Number | 8593417246 |
| Fax Number | 8593417867 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200529320A | IN | -- | |
| 284941995017 | MEDICAL MUTUAL | ||
| 5124498 | CIGNA | ||
| 65944233 | KY | -- | |
| 728014 | BUCKEYE | ||
| 610168000 | FEDERAL WORKERS COMP | ||
| 2044773 | OH | -- |
Post Comment/ Review Below
What is the Tri-State Pain Management Service Inc's unique identification number?
The Tri-State Pain Management Service Inc has been assigned the NPI (National Provider Identifier) Number 1275705048 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Tri-State Pain Management Service Inc's facilities are situated?
The facilities of Tri-State Pain Management Service Inc are physically located at the following address: 4415 Aicholtz Rd, Cincinnati, OH, 452451506.
What is the area of specialization for Tri-State Pain Management Service Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tri-State Pain Management Service Inc is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275705048 to Tri-State Pain Management Service Inc?
The Centers for Medicare & Medicaid Services assigned the 1275705048 to Tri-State Pain Management Service Inc on 2008-04-01.
As of what date were the details related to Tri-State Pain Management Service Inc most recently updated or revised?
The information pertaining to Tri-State Pain Management Service Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-24.
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