TRI-STATE PAIN MANAGEMENT SERVICE INC – NPI #1275705048
Pain Medicine

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 is a provider located in CINCINNATI, OH. NPPES has assigned the NPI number 1275705048 to TRI-STATE PAIN MANAGEMENT SERVICE INC on April 01, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 6 years ago on Mar 24, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRI-STATE PAIN MANAGEMENT SERVICE INC below.

NPI Profile for
TRI-STATE PAIN MANAGEMENT SERVICE INC

NPI Number
1275705048
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRI-STATE PAIN MANAGEMENT SERVICE INC
Primary location
4415 AICHOLTZ RD
CINCINNATI, OH 45245-1506
Phone: (859) 341-7246 Fax: (859) 341-7867
Mailing address
7655 5 MILE RD STE 117
CINCINNATI, OH 45230-4326
Phone: (513) 624-7525 Fax: (513) 624-0578
Organization Subpart
No
Authorized Official
JEWELL ASHLEY
OFFICE MANAGER
Phone: (513) 624-7525
Updated
Certification Date
Mar 24, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TRI-STATE PAIN MANAGEMENT SERVICE INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBUCKEYE728014
OTHERCIGNA5124498
OTHERFEDERAL WORKERS COMP610168000
OTHERMEDICAL MUTUAL284941995017
MEDICAIDIN200529320A
MEDICAIDKY65944233
MEDICAIDOH2044773
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
363L00000X
- Nurse Practitioner

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.