| Cleveland Pain Specialists | |
|
12000 Snow Road Suite 8 Perma OH 44130 | |
| (216) 417-3700 | |
| Not Available |
| Full Name | Cleveland Pain Specialists |
|---|---|
| Speciality | Clinic/Center |
| Location | 12000 Snow Road, Perma, Ohio |
| Authorized Official Name and Position | Steven U Kozmary (OWNER) |
| Authorized Official Contact | 2164173700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Pain Specialists 7575 Northcliff Ave Ste 200 Brooklyn OH 44144-3268 Ph: (216) 417-3700 | Cleveland Pain Specialists 12000 Snow Road Suite 8 Perma OH 44130 Ph: (216) 417-3700 |
| NPI Number | 1891271813 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 10/10/2024 |
| Medicare PECOS PAC ID | 5294802831 |
|---|---|
| Medicare Enrollment ID | O20190624000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891271813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
| Provider Name | Danielle La Rita Germany |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1992712327 PECOS PAC ID: 9133123110 Enrollment ID: I20060906000007 |
| Provider Name | Wendy Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154870095 PECOS PAC ID: 2567741424 Enrollment ID: I20161116002139 |
| Provider Name | Alecia Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215496310 PECOS PAC ID: 0143650481 Enrollment ID: I20200428001946 |
| Provider Name | Michelle Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760972665 PECOS PAC ID: 3870986649 Enrollment ID: I20220131002627 |