Individual provider · Type 1 NPI

Bo Tyler Headlam, MD

Interventional Pain Medicine Physician · Portsmouth, OH

NPI number 1619939246 Active

Practice location

1735 27th St, Waller Building, Suite 302
Portsmouth, OH 45662-2677

Call (740) 356-6808 Map

Fax (740) 356-6826

Mailing address

68 S Service Rd, Suite 100
Melville, NY 11747-2354

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X25588 (NE)
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X036115263 (IL)
Pain Medicine Physician 208VP0000X25588 (NE)
Interventional Pain Medicine Physician 208VP0014X25588 (NE)
Interventional Pain Medicine Physician 208VP0014X036115263 (IL)
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X35120229 (OH)
Interventional Pain Medicine Physician 208VP0014X35120229 (OH)
Pain Medicine Physician 208VP0000X35120229 (OH)
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X286498 (NY)
Interventional Pain Medicine Physician Primary 208VP0014X286498 (NY)

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1619939246

Bo Tyler Headlam, MD's National Provider Identifier is 1619939246, issued on Apr 6, 2006. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Portsmouth, OH. The record was last updated on Feb 19, 2025.