ZACKARY ELIAS BOOMSAAD (NPI# 1235394891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235394891 |
| Entity Type | Individual |
| Full Name | ZACKARY ELIAS BOOMSAAD |
| Credential | M.D. |
| Practice Address |
10050 Sw Innovation Way Ste 102 Port St Lucie FL 34987-2117 |
| Mailing Address |
Po Box 9033 Stuart FL 34995-9033 |
| Practice Telephone | 7722885862 |
| Practice Fax Number | 7722885874 |
| Mailing Telephone | 7722232832 |
| Mailing Fax Number | 7722235646 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ME133521 | FL | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
072550 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5730 Glenridge Dr Ne, Suite 100, Sandy Springs, GA 30328 | 7345464310 | |
| 509 Se Riverside Dr Ste 203, Stuart, FL 349942579 | 7722885862 | 7722885874 |
| Street Address |
10050 SW INNOVATION WAY STE 102 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34987-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487817904 | Edward F Kellenberger | Psychiatry & Neurology | 10050 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2117 | 2008-07-03 |
| 1235596461 | Jacquelyn Freeman | Physician Assistant | 10050 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2117 | 2016-01-19 |
| 1942572607 | Jeffrey Daniel Bien | Physician Assistant | 10050 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2117 | 2012-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
| 1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
| 1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
| 1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
| 1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
| 1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
| 1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
| 1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
| 1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
| 1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
| Find all providers in zip 34987 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34987 |
Please comment or provide details below to improve the information on ZACKARY ELIAS BOOMSAAD.
| 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.