JONATHAN S DAITCH (NPI# 1215924154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215924154 |
| Entity Type | Individual |
| Full Name | JONATHAN S DAITCH |
| Credential | MD |
| Practice Address |
8255 College Pkwy Ste 100 Fort Myers FL 33919-5119 |
| Mailing Address |
Po Box 07400 Fort Myers FL 33919-0391 |
| Practice Telephone | 2394378000 |
| Practice Fax Number | 2394379991 |
| Mailing Telephone | 2394378000 |
| Mailing Fax Number | 2394379991 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2015-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ME60798 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 12953 | 01 |
| CIGNA | 955549006 | 01 | |
| FL | 056302100 | 05 | |
| AETNA | 4222838 | 01 |
| Street Address |
8255 COLLEGE PKWY STE 100 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538412440 | Surgical Spine Associates, LLC | Anesthesiology | 8255 College Pkwy, Fort Myers, FL 33919-5119 | 2012-10-17 |
| 1558506303 | Ips of Ft Myers LLC | Anesthesiology | 8255 College Pkwy, St 100, Fort Myers, FL 33919-5119 | 2008-12-09 |
| 1215982665 | Advanced Pain Management Specialists | Anesthesiology | 8255 College Pkwy, Suite 200, Fort Myers, FL 33919-5193 | 2006-05-24 |
| 1780672543 | Michael E Frey | Physical Medicine & Rehabilitation | 8255 College Pkwy, Ste 100, Fort Myers, FL 33919-5119 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| 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 |
|---|---|---|---|---|
| 1558345819 | Alexander Nash | Pain Medicine | 3822 Broadway, Fort Myers, FL 33901-8148 | 2005-12-01 |
| 1104472414 | Spine Center of Fl LLC | Pain Medicine | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2019-08-13 |
| 1659826881 | All Care Family Health LLC | Pain Medicine | 40 Barkley Cir, Suite 3, Fort Myers, FL 33907-4518 | 2016-08-17 |
| 1396189858 | George Ibrahim Soliman | Pain Medicine | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919 | 2013-04-26 |
| 1003182866 | A New Life Pain Management Inc | Pain Medicine | 40 Barkley Cir, Suite 3, Fort Myers, FL 33907-4518 | 2012-03-27 |
| 1376852871 | Miami Lakes Medical Solutions, Inc | Pain Medicine | 3822 Broadway, Suites A and C, Fort Myers, FL 33901-8148 | 2010-09-30 |
| 1922248830 | Renaissance Wellness, LLC | Pain Medicine | 3880 Colonial Blvd, Suite 2, Fort Myers, FL 33966-1062 | 2009-03-05 |
| 1134378938 | Pain Relief and Physical Rehab Inc | Pain Medicine | 4977 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2008-09-17 |
| 1699947465 | Rehabilitation Consultants Pa | Pain Medicine | 13685 Doctors Way, Ste 190, Fort Myers, FL 33912-4336 | 2008-04-01 |
| 1275723520 | Fred A Liebowitz Md Pa | Pain Medicine | 6150 Diamond Centre Ct, 700-1, Fort Myers, FL 33912-4365 | 2007-08-01 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
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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.