Healthcare Provider Details

I. General information

NPI: 1952482309
Provider Name (Legal Business Name): NORTH AMERICAN PAIN CONTROL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 WATERMARK DRIVE
COLUMBUS OH
43215
US

IV. Provider business mailing address

1680 WATERMARK DRIVE
COLUMBUS OH
43215
US

V. Phone/Fax

Practice location:
  • Phone: 614-487-8772
  • Fax:
Mailing address:
  • Phone: 614-487-8772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number023803E
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number023803E
License Number StateOH

VIII. Authorized Official

Name: ROBERT HARRISON
Title or Position: COO
Credential:
Phone: 614-487-8772