Organization
GREATER CINCINNATI PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL E SIMONS M.D. (PHYSICIAN-OWNER-PRESIDENT)
(513) 794-5107
Entity
Organization
Contact information
Practice address
4243 HUNT RD, CINCINNATI, OH 45242-6645
(513) 794-5107
(513) 791-2680
Mailing address
4243 HUNT RD, CINCINNATI, OH 45242-6645
(513) 794-5107
(513) 791-2680
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2551957
—
OH
05
—
7100060820
—
KY
Enumeration date
11/29/2006
Last updated
11/02/2016
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