Healthcare Provider Details

I. General information

NPI: 1740327477
Provider Name (Legal Business Name): BLATMAN PAIN CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10653 TECHWOOD CIR SUITE 101
CINCINNATI OH
45242-2833
US

IV. Provider business mailing address

10653 TECHWOOD CIR SUITE 101
CINCINNATI OH
45242-2833
US

V. Phone/Fax

Practice location:
  • Phone: 513-956-3200
  • Fax: 513-956-3202
Mailing address:
  • Phone: 513-956-3200
  • Fax: 513-956-3202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number35-04-7632
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number35-04-7632
License Number StateOH

VIII. Authorized Official

Name: DR. HAL SAMUEL BLATMAN
Title or Position: DIRECTOR
Credential: M.D.
Phone: 513-956-3200