Provider Demographics
NPI:1508035957
Name:PRECISION PAIN CARE INC
Entity Type:Organization
Organization Name:PRECISION PAIN CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:LINEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-689-3120
Mailing Address - Street 1:200 NORTHLAND BLVD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3604
Mailing Address - Country:US
Mailing Address - Phone:513-672-3300
Mailing Address - Fax:513-672-3323
Practice Address - Street 1:1533 ELECTION HOUSE RD NW
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-9059
Practice Address - Country:US
Practice Address - Phone:740-689-3120
Practice Address - Fax:513-672-3323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH208VP0014X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2846380Medicaid
OH9374371Medicare PIN