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General NPI Number Information
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NPI Number | 1053368811
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Entity Type | Organization
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Legal Business Name | MIDWEST PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 5151 MORNING SUN RD STE A
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City | OXFORD
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State | OH
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Zip | 45056-9545
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Country | US
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Telephone | 513-524-5330
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Fax | 513-524-5337
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Provider Business Mailing Address
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Address Line | 5151 MORNING SUN RD STE A
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City | OXFORD
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State | OH
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Zip | 45056-9545
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Country | US
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Telephone | 513-524-5330
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Fax | 513-524-5337
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM DOUGLAS ROSS
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Credential | DO
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Telephone | 513-524-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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