JACKSONVILLE PAIN CENTER PA (NPI# 1114114303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114114303 |
| Entity Type | Organization |
| Organization Name | JACKSONVILLE PAIN CENTER PA |
| Practice Address |
9421 Waypoint Pl Jacksonville FL 32257-9229 |
| Mailing Address |
Po Box 600290 Jacksonville FL 32260-0290 |
| Practice Telephone | 9042688200 |
| Practice Fax Number | 9042688298 |
| Mailing Telephone | 9042688200 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2010-12-21 |
| Authorized Official Name | DR. HEMANT SHAH (PRESIDENT/ OWNER) |
| Authorized Official Telephone | 9042688200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME95262 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
9421 WAYPOINT PL |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-9229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154326973 | Hemant N Shah | Pain Medicine | 9421 Waypoint Pl, Jacksonville, FL 32257-9229 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| 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 |
|---|---|---|---|---|
| 1497006423 | Jacksonville Pain and Injury Center, Inc | Pain Medicine | 4051 Phillips Hwy Ste 2, Jacksonville, FL 32207-6895 | 2012-10-01 |
| 1184945917 | Axiom Pain Management LLC | Pain Medicine | 2160 Dunn Ave, Jacksonville, FL 32218-4718 | 2010-06-16 |
| 1457587891 | Perry Jc Md Pa | Pain Medicine | 7999 Philips Hwy, Ste 302, Jacksonville, FL 32256-4443 | 2009-05-29 |
| 1255351110 | Scott Richard Johnston | Pain Medicine | 250 Huff Dr, Jacksonville, NC 28546-7369 | 2006-07-20 |
| 1194722512 | Craig Allen Kornick | Pain Medicine | 7207 Golden Wings Road, Jacksonville, FL 32244 | 2005-06-30 |
| 1154326973 | Hemant N Shah | Pain Medicine | 9421 Waypoint Pl, Jacksonville, FL 32257-9229 | 2005-06-17 |
| 1487270351 | Formoso Pain Specialists, Pa | Pain Medicine | 11555 Central Pkwy Ste 304, Jacksonville, FL 32224-2694 | 2020-06-17 |
| 1104460096 | Spencer Rice | Pain Medicine | 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216-6199 | 2019-11-04 |
| 1831744549 | Orles Pain Management and Regenerative Medicine Group Pa | Pain Medicine | 4131 University Blvd S Ste 12, Jacksonville, FL 32216-4352 | 2019-08-08 |
| 1760976260 | Jacksonville Spine Center Pa | Pain Medicine | 15255 Max Leggett Pkwy Ste 5500, Jacksonville, FL 32218-7273 | 2018-06-18 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on JACKSONVILLE PAIN CENTER PA.
| 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.