Organization
ORACLE PAIN CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL ESSANDOH M.D. (PRESIDENT)
(614) 876-1618
Entity
Organization
Contact information
Practice address
4523 CEMETERY RD, HILLIARD, OH 43026-1102
(614) 876-1618
(614) 876-1969
Mailing address
4523 CEMETERY RD, HILLIARD, OH 43026-1102
(614) 876-1618
(740) 654-1417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35095632
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35095632
OH
208VP0000X
Pain Medicine Physician
Primary
35095632
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079001
—
OH
Enumeration date
12/04/2012
Last updated
10/16/2024
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