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Premier Pain Treatment Institute, LLC

Pain Medicine, Interventional Pain Medicine in Mount Orab, OH. Organization (NPI-2).

NPI number1043775752
StatusActive
Last updated in NPPESFeb 6, 2019

Details

NPI
1043775752
Entity type
Organization (NPI-2)
Legal business name
Premier Pain Treatment Institute, LLC
Organization subpart
Yes
Enumeration date
Feb 6, 2019
Last updated
Feb 6, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Yes · DME SUPPLIER - PHYSICIAN - INTERVENTIONAL PAIN MANAGEMENT
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
335E00000X Prosthetic/Orthotic Supplier––

Practice location

111 Vandament Way
Mount Orab, OH 45154-8395

Phone 513-454-7246

Mailing address

Po Box 330
Loveland, OH 45140-0330

Phone 513-454-7246

Authorized official

Michael Donald Danko
MD/Ceo
5134547246

Is something wrong?

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