ADVANCED PAIN CARE, INC -NEW PORT RICHEY (NPI# 1053671917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053671917 |
| Entity Type | Organization |
| Organization Name | ADVANCED PAIN CARE, INC -NEW PORT RICHEY |
| Practice Address |
3633 Little Rd Trinity FL 34655-1815 |
| Mailing Address |
1921 W Dr Martin Luther King Jr Blvd Tampa FL 33607-6509 |
| Practice Telephone | 8138767600 |
| Practice Fax Number | 8138767675 |
| Mailing Telephone | 8138767600 |
| Mailing Fax Number | 8138767675 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |
| Authorized Official Name | DR. STANLEY ROBERT DENNISON JR. (CEO/PRESIDENT) |
| Authorized Official Telephone | 8138767600 |
| Authorized Official Credential | M.D., M.B.A. |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCED PAIN CARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME69243 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | P-TAN | K3587 | 01 |
| Street Address |
3633 LITTLE RD |
| City | TRINITY |
| State | FL |
| Zip Code | 34655-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113624 | Richard Nicholas Maravel | Internal Medicine | 3633 Little Rd, Suite 101, Trinity, FL 34655-1815 | 2005-09-09 |
| 1952543704 | Richard N Maravel Md Pa | Internal Medicine | 3633 Little Rd, Suite 101, Trinity, FL 34655-1815 | 2009-03-25 |
| 1164601191 | Tatiana L Hernandez Md Pa | Clinic/Center | 3633 Little Rd, Suite # 103, Trinity, FL 34655-1815 | 2007-10-26 |
| 1366535320 | Tatiana Luz Hernandez | Family Medicine | 3633 Little Rd, Suite 103, Trinity, FL 34655-1815 | 2006-10-02 |
| 1851306211 | Trinity Hearing &balance Center | Audiologist | 3633 Little Rd, Suite 104, Trinity, FL 34655-1815 | 2006-07-31 |
| 1205814852 | Chen-sien Hu | Specialist | 3633 Little Rd, Suite 104, Trinity, FL 34655-1815 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659913218 | Neuspine Ancillary LLC | Pain Medicine | 2445 Country Place Blvd Ste 102, Trinity, FL 34655-1102 | 2019-10-15 |
| 1942525688 | Trinity Pain Center LLC | Pain Medicine | 8146 Cerebellum Way, Suite 102, Trinity, FL 34655-1784 | 2010-04-06 |
| 1255455044 | Damon T Vu | Pain Medicine | 8146 Cerebellum Way, Suite 102, Trinity, FL 34655-1784 | 2007-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979706 | Specialty Physician Services. LLC | Pain Medicine | 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 | 2020-10-12 |
| 1700403847 | Advanced Interventional Pain Center Fl | Pain Medicine | 1831 N Belcher Rd Ste E1, Clearwater, FL 33765-1442 | 2020-07-05 |
| 1770108110 | The Neomedicine Institute LLC | Pain Medicine | 2510 Nw 97th Ave Ste 110, Doral, FL 33172-1407 | 2020-06-11 |
| 1316583362 | Lisa M Gonzalez | Pain Medicine | 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 | 2019-11-25 |
| 1306488820 | Alberto Rivera-sanchez Pa | Pain Medicine | 201 W Canton Ave Ste 275, Winter Park, FL 32789-3148 | 2019-10-16 |
| 1912560798 | Jacksonville Spine Center Pa | Pain Medicine | 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 | 2019-04-17 |
| 1942765144 | Nixpain LLC | Pain Medicine | 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 | 2019-02-01 |
| 1346737749 | Ceda Orthopedics Group, LLC. | Pain Medicine | 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 | 2018-04-20 |
| 1174025001 | Lighthouse Point Surgery Center LLC | Pain Medicine | 1821 Ne 25th St Ste 100, Lighthouse Point, FL 33064-7744 | 2018-03-07 |
| 1801394440 | Neuspine Therapy LLC | Pain Medicine | 12880 Us 301, Dade City, FL 33525-5801 | 2018-01-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.