MEDICARE: COMPREHENSIVE PAIN MANAGEMENT SPECIALISTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	207L00000X	Anesthesiology Physician
3	207LP2900X	Pain Medicine (Anesthesiology) Physician
4	208100000X	Physical Medicine & Rehabilitation Physician
5	208VP0000X	Pain Medicine Physician
6	225100000X	Physical Therapist
7	291U00000X	Clinical Medical Laboratory
8	332B00000X	Durable Medical Equipment & Medical Supplies
9	363A00000X	Physician Assistant
10	363L00000X	Nurse Practitioner
11	367500000X	Certified Registered Nurse Anesthetist
12	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1508007444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE PAIN MANAGEMENT SPECIALISTS

Provider Business Mailing Address
First Line	:	2215 E WATERLOO RD STE 313
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-3856
Country	:	US
Telephone Number	:	330-208-2720
Fax Number	:	330-208-2721

Provider Business Practice Location Address
First Line	:	2215 E WATERLOO RD STE 313
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-3856
Country	:	US
Telephone Number	:	330-208-2720
Fax Number	:	330-208-2721

Authorized Official
Title or Position	:	OWNER/MEDICAL DIRECTOR
Name	:	TONY GHASSAN LABABIDI
Credential	:	DO
Telephone Number	:	330-208-2720

Provider Enumeration Date	:	03/23/2009
Last Update Date	:	04/07/2025

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