Provider Demographics
| NPI: | 1508007444 |
|---|---|
| Name: | COMPREHENSIVE PAIN MANAGEMENT SPECIALISTS |
| Entity type: | Organization |
| Organization Name: | COMPREHENSIVE PAIN MANAGEMENT SPECIALISTS |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER/MEDICAL DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | TONY |
| Authorized Official - Middle Name: | GHASSAN |
| Authorized Official - Last Name: | LABABIDI |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DO |
| Authorized Official - Phone: | 330-208-2720 |
| Mailing Address - Street 1: | 2215 E WATERLOO RD STE 313 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | AKRON |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 44312-3856 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 330-208-2720 |
| Mailing Address - Fax: | 330-208-2721 |
| Practice Address - Street 1: | 2215 E WATERLOO RD STE 313 |
| Practice Address - Street 2: | |
| Practice Address - City: | AKRON |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 44312-3856 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 330-208-2720 |
| Practice Address - Fax: | 330-208-2721 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2009-03-23 |
| Last Update Date: | 2025-04-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | Group - Multi-Specialty |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | Group - Multi-Specialty | |
| No | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | Group - Multi-Specialty |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | Group - Multi-Specialty |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 291U00000X | Laboratories | Clinical Medical Laboratory | Group - Multi-Specialty | |
| No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | ||
| No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
| No | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | Group - Multi-Specialty |
