Healthcare Provider Details

I. General information

NPI: 1326360082
Provider Name (Legal Business Name): MARION PAIN CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2010
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 DELAWARE AVE SUITE A
MARION OH
43302-6461
US

IV. Provider business mailing address

1065 DELAWARE AVE SUITE A
MARION OH
43302-6461
US

V. Phone/Fax

Practice location:
  • Phone: 740-387-7246
  • Fax: 740-387-7244
Mailing address:
  • Phone: 740-387-7246
  • Fax: 740-387-7244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADIL KATABAY
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 740-387-7246