Provider Demographics
NPI:1326360082
Name:MARION PAIN CENTER, LLC
Entity Type:Organization
Organization Name:MARION PAIN CENTER, LLC
Other - Org Name:BKC PAIN SPECIALISTS LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KATABAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-387-7246
Mailing Address - Street 1:1065 DELAWARE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6461
Mailing Address - Country:US
Mailing Address - Phone:740-387-7246
Mailing Address - Fax:740-387-7244
Practice Address - Street 1:1065 DELAWARE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6461
Practice Address - Country:US
Practice Address - Phone:740-387-7246
Practice Address - Fax:740-387-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Multi-Specialty