CHARLES MICHAEL GRUDEM (NPI# 1093825150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093825150 |
| Entity Type | Individual |
| Full Name | CHARLES MICHAEL GRUDEM |
| Credential | MD |
| Practice Address |
3200 Sw 34th Ave Suite 502 Ocala FL 34474-7456 |
| Practice Telephone | 3526297011 |
| Practice Fax Number | 3526297924 |
| Mailing Telephone | 3526297011 |
| Mailing Fax Number | 3526297924 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ME 61060 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 720000084 | 01 |
| BCBS | 17875 | 01 |
| Street Address |
3200 SW 34TH AVE SUITE 502 |
| City | OCALA |
| State | FL |
| Zip Code | 34474-7456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093799298 | Vasudevan Anjore Kidambi | Family Medicine | 3200 Sw 34th Ave, Suite 302, Ocala, FL 34474-7456 | 2005-12-01 |
| 1558810317 | Elite Orthopedics and Sports Medicine, Pllc | Orthopaedic Surgery | 3200 Sw 34th Ave, Bldg 500, Suite 502, Ocala, FL 34474-7456 | 2016-09-22 |
| 1891162400 | Pinnacle Family Services of Florida, LLC. | Community/Behavioral Health | 3200 Sw 34th Ave, Suite 203, Ocala, FL 34474-7456 | 2015-08-31 |
| 1780050070 | Pinnacle Family Services of Florida, LLC. | Community/Behavioral Health | 3200 Sw 34th Ave, Suite 203, Ocala, FL 34474-7456 | 2015-08-20 |
| 1770960569 | Wafa Vivian Alkoka | Counselor | 3200 Sw 34th Ave, Suite 203, Ocala, FL 34474-7456 | 2015-04-30 |
| 1033503909 | Summerwood Home Health Services of District 3, LLC | Home Health | 3200 Sw 34th Ave, Suite 702, Ocala, FL 34474-7456 | 2015-03-27 |
| 1871927020 | Latesha Lanette Lanier-brown | Counselor | 3200 Sw 34th Ave, Ste 203, Ocala, FL 34474-7456 | 2013-08-23 |
| 1912248147 | Healthy Smiles, Pa | Dentist | 3200 Sw 34th Ave, Suite 401, Ocala, FL 34474-7456 | 2013-03-13 |
| 1821218488 | Center for Spine Medicine Pa | Pain Medicine | 3200 Sw 34th Ave, Suite 502, Ocala, FL 34474-7456 | 2007-04-26 |
| 1124145891 | National Mentor Health Care LLC | Community/Behavioral Health | 3200 Sw 34th Ave, Building 200 #203, Ocala, FL 34474-7456 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125167 | Hailey Roberts | Behavior Technician | 2202 Sw 20th Pl #302, Ocala, FL 34474 | 2019-07-03 |
| 1912560632 | La-sheria R Mcleod | Licensed Practical Nurse | 3240 Sw 34th St Apt 908, Ocala, FL 34474 | 2019-04-18 |
| 1043700792 | Clinical Positron Emission Tomography LLC | Clinic/Center | 3233 Sw 33rd Rd Ste 301, Ocala, FL 34474 | 2018-05-17 |
| 1861981896 | The Orthopaedic Institute, Pa | Emergency Medicine | 4600 Sw 46th Ct Ste 220, Ocala, FL 34474 | 2018-05-04 |
| 1790273738 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 3221 Sw 33rd Road, Suite 100, Ocala, FL 34474 | 2018-04-25 |
| 1841703337 | Stephanie E Nunes | Nurse Practitioner | 3131 Sw College Rd Ste 405, Ocala, FL 34474 | 2017-11-07 |
| 1316457013 | Holli Dobson Molina | Nurse Practitioner | 5200 Sw 31st St, Ocala, FL 34474 | 2017-10-07 |
| 1063964690 | Mary Aguilar | Specialist/Technologist, Other | 4900 Sw 46th Ct Apto 1406, Ocala, FL 34474 | 2016-10-31 |
| 1649725326 | Colby Beck | Physician Assistant | 3210 Sw 33rd Rd Ste 101, Ocala, FL 34474 | 2016-08-23 |
| 1881053031 | Jeanette M Hall | Pharmacist | 3130 Sw 32nd Ave., Ocala, FL 34474 | 2016-02-16 |
| Find all providers in zip 34474 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821218488 | Center for Spine Medicine Pa | Pain Medicine | 3200 Sw 34th Ave, Suite 502, Ocala, FL 34474-7456 | 2007-04-26 |
| 1538258561 | Marion Pain Management Center Inc | Pain Medicine | 1737a Se 28th Loop, Ocala, FL 34471-1079 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452115 | Premier Pain and Wellness LLC | Pain Medicine | 12555 Sw 46th St, Miami, FL 33175-4725 | 2020-09-17 |
| 1861043929 | Spine Center of Fl LLC | Pain Medicine | 9400 Bonita Beach Rd Se Ste 101, Bonita Springs, FL 34135-4520 | 2019-09-20 |
| 1356998975 | Haitao Zhang Md, P.a. | Pain Medicine | 3688 Burnt Pine Dr, Jacksonville, FL 32224-0870 | 2019-08-19 |
| 1013487362 | Florida Institute of Pain Medicine LLC | Pain Medicine | 2386 Dunn Ave Ste 111, Jacksonville, FL 32218-4751 | 2018-11-29 |
| 1619442209 | Family Spine and Pain Care Institute LLC | Pain Medicine | 1525 Tamiami Trl S Ste 601, Venice, FL 34285-3568 | 2018-10-10 |
| 1215429717 | Pain Treatment Specialists | Pain Medicine | 2601 E Oakland Park Blvd Ste 200, Fort Lauderdale, FL 33306 | 2018-05-31 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1568977973 | Prc Associates, LLC | Pain Medicine | 1545 Hand Ave Ste Az, Ormond Beach, FL 32174-1139 | 2017-12-07 |
| 1710406228 | Sasha Saidi | Pain Medicine | 16810 South Highway 441, Suite 502, Summerfield, FL 34491 | 2017-09-15 |
| 1003341280 | Yvonne Derickson | Pain Medicine | 105 Whitehall Dr Ste 115-116, St Augustine, FL 32086-5269 | 2017-04-26 |
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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.