Provider Demographics
NPI:1316981616
Name:CINCINNATI CENTERS FOR PAIN RELIEF INC
Entity type:Organization
Organization Name:CINCINNATI CENTERS FOR PAIN RELIEF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NILESH
Authorized Official - Middle Name:B
Authorized Official - Last Name:JOBALIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-454-2277
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45012-0001
Mailing Address - Country:US
Mailing Address - Phone:513-454-2277
Mailing Address - Fax:513-454-2288
Practice Address - Street 1:3145 HAMILTON MASON RD
Practice Address - Street 2:STUITE 201
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-8557
Practice Address - Country:US
Practice Address - Phone:513-454-2277
Practice Address - Fax:513-454-2288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207LP2900X
OH35-062727208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCH8841OtherMEDICARE RR
OH2645329Medicaid
OH=========00OtherWORKERS COMPENSATION
OH=========029OtherCARESOURCE
OH2645329Medicaid