Healthcare Provider Details

I. General information

NPI: 1730189622
Provider Name (Legal Business Name): CINCINNATI PAIN MANAGEMENT CONSULTANTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8261 CORNELL RD STE 630
CINCINNATI OH
45249-2279
US

IV. Provider business mailing address

9000 W. 67TH STREET
MISSION KS
66020-3656
US

V. Phone/Fax

Practice location:
  • Phone: 513-891-0022
  • Fax: 513-891-5681
Mailing address:
  • Phone: 888-562-5589
  • Fax: 913-262-3633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. JAMES F. WELLER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 513-865-5204