MEDICARE: COMPREHENSIVE PAIN CARE SPECIALISTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336488659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE PAIN CARE SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	19645 PROGRESS DR
Second Line	:
City	:	STRONGSVILLE
State	:	OH
Zip	:	44149-3205
Country	:	US
Telephone Number	:	440-234-8833
Fax Number	:	440-234-3313

Provider Business Practice Location Address
First Line	:	2212 MIFFLIN AVE STE 220
Second Line	:
City	:	ASHLAND
State	:	OH
Zip	:	44805-8846
Country	:	US
Telephone Number	:	440-234-8833
Fax Number	:	440-234-3313

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. ZACHARY ZUMBAR
Credential	:	M.D.
Telephone Number	:	419-686-3600

Provider Enumeration Date	:	02/06/2013
Last Update Date	:	05/23/2022

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