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1609879527

NPI Code Detail

MEDICARE: JAMES W LADSON MD

MEDICARE: JAMES W LADSON MD

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	24209	TN
2	208VP0000X	Pain Medicine Physician	24209	TN
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	24209	TN
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	47671	KY

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	:	1609879527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES W LADSON MD

Provider Business Mailing Address
First Line	:	600 CROSS POINTE RD STE A
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-6696
Country	:	US
Telephone Number	:	513-725-2186
Fax Number	:

Provider Business Practice Location Address
First Line	:	2548 RIDEOUT LN
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-7686
Country	:	US
Telephone Number	:	615-410-4990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	10/11/2018

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Directions to “ JAMES W LADSON MD” Practice Location

Language	Start Address	Practice Location

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