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CLEVELAND PAIN MANAGEMENT, PC
NPI 1649416926
General Practice in Cleveland, TN

Active since December 17, 2008
340 SUNSET DR NW, CLEVELAND, TN 37312(423) 614-5654(423) 614-5645 Get Directions Write a Review

NPPES record last updated: August 3, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Cleveland Pain Management, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEVELAND PAIN MANAGEMENT, PC (NPI 1649416926) is a healthcare organization registered as a general practice in Cleveland, Tennessee and active in the NPI registry since December 2008. The organization lists Timothy Deroos, President, as its authorized official.

NPPES Registry Identity

NPI1649416926
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCLEVELAND PAIN MANAGEMENT, PC
Location Address340 SUNSET DR NWCleveland, TN 37312-5349
Mailing Address340 Sunset Dr NwCleveland, TN 37312-5349 · (423) 614-5654 · Fax (423) 614-5645
Phone(423) 614-5654
Fax(423) 614-5645
Organization SubpartNo
Authorized OfficialTimothy DeroosPresident · (423) 614-5654
Enumeration DateDecember 17, 2008
Last NPPES UpdateAugust 3, 2010
✔ NPI 1649416926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TN · 9519
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X · License 1294 (TN)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1753 (TN), 1830 (TN)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 15022 (TN)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 13925 (TN)
340 SUNSET DR NW, Cleveland, TN 37312
Open in Google Maps ↗

Other Identifiers 5

Medicaid1513537TN
Other4026063TN · Bcbstn
Other3730366TN · Medicare
Medicare UPIN63881TN
Medicare NSC6231010001TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEROOS FAMILY & PEDIATRIC HEALTH CENTER PC
Chiropractor
340 SUNSET DR NW
CLEVELAND, TN 37312
Bradley County (423) 614-5654
DR. TIMOTHY DAVID DEROOS DC
Chiropractor
340 SUNSET DR NW
CLEVELAND, TN 37312
Bradley County (426) 614-5654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cleveland Pain Management, PC's NPI number?

The NPI number for Cleveland Pain Management, PC is 1649416926. It was assigned to this organization in the NPPES registry on December 17, 2008.

Where is Cleveland Pain Management, PC located?

Cleveland Pain Management, PC is located at 340 Sunset Dr NW, Cleveland, TN 37312. The listed phone number is (423) 614-5654.

What is Cleveland Pain Management, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Cleveland Pain Management, PC was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.