Organization
MIDWEST PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DOUGLAS ROSS DO (OWNER)
(513) 524-5330
Entity
Organization
Contact information
Practice address
5151 MORNING SUN RD, STE A, OXFORD, OH 45056-9545
(513) 524-5330
(513) 524-5337
Mailing address
5151 MORNING SUN RD, STE A, OXFORD, OH 45056-9545
(513) 524-5330
(513) 524-5337
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200525610 A
—
IN
05
—
200525610B
—
IN
05
—
2978489
—
OH
01
—
DF1340
RR MEDICARE
OH
Enumeration date
05/27/2006
Last updated
03/24/2014
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