Provider Demographics
NPI:1861686206
Name:COMPREHENSIVE CARE ANESTHESIA SERVICES INC
Entity Type:Organization
Organization Name:COMPREHENSIVE CARE ANESTHESIA SERVICES INC
Other - Org Name:COMPREHENSIVE PAIN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKOLAIDIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-837-7200
Mailing Address - Street 1:PO BOX 74994
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-0001
Mailing Address - Country:US
Mailing Address - Phone:614-430-5724
Mailing Address - Fax:614-430-5742
Practice Address - Street 1:2815 AARONWOOD AVE NE
Practice Address - Street 2:AFFINITY PAIN CENTER
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-2371
Practice Address - Country:US
Practice Address - Phone:330-834-4788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2468048Medicaid
OH000000328570OtherANTHEM BC/BS
OHDB1218OtherRAILROAD MEDICARE
OH2468048Medicaid
OH000000328570OtherANTHEM BC/BS