JANE BISTLINE MD INTERVENTIONAL PAIN, LLC (NPI# 1194001289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194001289 |
| Entity Type | Organization |
| Organization Name | JANE BISTLINE MD INTERVENTIONAL PAIN, LLC |
| Other Organization Name | INTERVENTIAL PAIN SERVICES OF PALM BEACH |
| Practice Address |
2031 Palm Beach Lakes Blvd Suite 100 West Palm Beach FL 33409-6501 |
| Practice Telephone | 5616819808 |
| Practice Fax Number | 5616819989 |
| Mailing Telephone | 5616819808 |
| Mailing Fax Number | 5616819989 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-12-15 |
| Authorized Official Name | JANE E BISTLINE (PRESIDENT) |
| Authorized Official Telephone | 5616819808 |
| 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 |
ME64772 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Intervential Pain Services of Palm Beach | Doing Business As Name - Organization |
| Street Address |
2031 PALM BEACH LAKES BLVD SUITE 100 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33409-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849147 | Laurie Michele Lenz | Dermatology | 2031 Palm Beach Lakes Blvd, #101, West Palm Beach, FL 33409-6501 | 2009-10-26 |
| 1548663818 | Alexandria Bartlett | Physician Assistant | 2031 Palm Beach Lakes Blvd, Suite 100, West Palm Beach, FL 33409-6501 | 2014-10-01 |
| 1073899175 | Jane Bistline Md Anesthesia Services, LLC | Anesthesiology | 2031 Palm Beach Lakes Blvd, Suite 100, West Palm Beach, FL 33409-6501 | 2011-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
| 1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
| 1831703974 | Daylin Gonzalez | Behavior Technician | 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-09-05 |
| 1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1558915009 | Hess Massage and Fitness LLC. | Massage Therapist | 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 | 2019-08-01 |
| 1184195638 | Tyrone Woods | Developmental Therapist | 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 | 2018-12-10 |
| 1700352119 | Julio Cesar Lugo Sr. | Counselor | 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 | 2018-10-23 |
| 1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
| 1063901247 | Dominique J Carn | Technician, Other | 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 | 2018-05-03 |
| Find all providers in zip 33409 | ||||
| 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 |
|---|---|---|---|---|
| 1184265902 | Morgan Tantillo | Pain Medicine | 2031 Palm Beach Lakes Blvd Ste 100, West Palm Beach, FL 33409-6525 | 2019-10-02 |
| 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 | ||||
| City | WEST PALM BEACH |
| Zip Code | 33409 |
Please comment or provide details below to improve the information on JANE BISTLINE MD INTERVENTIONAL PAIN, LLC.
| 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.