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Contact Information

TRI-STATE PAIN MANAGEMENT SERVICE INC
8250 KENWOOD CROSSING WAY
STE 101
CINCINNATI, OH45236
 Phone: 859-341-7246
 Fax: 859-341-7867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TRI-STATE PAIN MANAGEMENT SERVICE INC

NPI Number 1114258142
LBN Legal business name TRI-STATE PAIN MANAGEMENT SERVICE INC
Authorized official SAIRAM ATLURI - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2010
Last updated 01/14/2010 - About 16 years ago
Identifiers
IN Medicaid 200377720
KY Medicaid 65944233
OH Medicaid 2044773
Other 000000388145 ANTHEM
Other 728014 BUCKEYE
Other 28494199500 BUREAU OF WORKERS COMP
Other 5124498 CIGNA
Other 284941995 HEALTHLAB GROUP#
Other 284941995 HEALTHNET
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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