# GREATER CINCINNATI PAIN MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619044005
- **Authorized official:** DR. MITCHELL E SIMONS M.D. (PHYSICIAN-OWNER-PRESIDENT)
- **Authorized official phone:** (513) 794-5107

## Contact information

- **Practice address:** 4243 HUNT RD, CINCINNATI, OH 45242-6645
- **Practice address phone:** (513) 794-5107
- **Practice address fax:** (513) 791-2680
- **Mailing address:** 4243 HUNT RD, CINCINNATI, OH 45242-6645
- **Mailing address phone:** (513) 794-5107
- **Mailing address fax:** (513) 791-2680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 11/02/2016
