SAINT PETERSBURG INTERVENTIONAL PAIN MANAGEMENT LLC


Address: 620 10th St N, Suite 2d, St Petersburg, FL 33705-1407
Phone: 7278248383

SAINT PETERSBURG INTERVENTIONAL PAIN MANAGEMENT LLC (NPI# 1306211743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306211743
Entity Type Organization
Organization Name SAINT PETERSBURG INTERVENTIONAL PAIN MANAGEMENT LLC
Practice Address 620 10th St N
Suite 2d
St Petersburg
FL 33705-1407
Mailing Address 620 10th St North
2d
Saint Petersburg
FL 33704
Practice Telephone 7278248383
Mailing Telephone 7278248383
Enumeration Date 2015-12-10
Last Update Date 2015-12-10
Authorized Official Name DANYA ALIDA GODOY (DOCTOR)
Authorized Official Telephone 1727148573
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0000X Pain Medicine
Specialization: Pain Medicine
ME85040 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 269485900 05

Office Location

Street Address 620 10TH ST N
SUITE 2D
City ST PETERSBURG
State FL
Zip Code 33705-1407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235124967 James C. Mauch Dermatology 620 10th St N, St Petersburg, FL 33705-1407 2005-09-19
1639716764 Rebecca Grimm Nurse Practitioner 620 10th St N, St Petersburg, FL 33705-1407 2019-12-09
1992100788 Tiffany Todd Nurse Practitioner 620 10th St N, St Petersburg, FL 33705-1407 2014-10-23
1457751687 Warren S Gilbert Physician Assistant 620 10th St N, St Petersburg, FL 33705-1407 2014-08-25
1417369588 Cory Nelson Family Medicine 620 10th St N, St Petersburg, FL 33705-1407 2014-05-23
1679997753 Allison N Kyle Nurse Practitioner 620 10th St N, St Petersburg, FL 33705-1407 2014-02-11
1427488360 Jessie Bardin Sereda Nurse Practitioner 620 10th St N, St Petersburg, FL 33705-1407 2013-11-13
1174960694 Conrad Hernandez Vinalon Jr. Family Medicine 620 10th St N, St Petersburg, FL 33705-1407 2013-05-23
1174967129 Monica Cristina Bovee Specialist/Technologist 620 10th St N, Suite 1d, St Petersburg, FL 33705-1407 2013-04-22
1740529270 Anthony E Somai Pharmacist 620 10th St N, 101, St Petersburg, FL 33705 2013-02-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935781 Caressa Alice Slocum Psychologist 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 2020-09-01
1386133015 Angela Ann Little Social Worker 920 Country Club Way S, St Petersburg, FL 33705 2018-05-08
1497279483 Infinity Health Consultants, LLC. In Home Supportive Care 1001 27th Avenue South, St. Petersburg, FL 33705 2017-08-01
1801320528 Dedicated Senior Medical Center St. Petersburg, LLC. Non-Pharmacy Dispensing Site 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 2017-04-19
1790135762 Robin Dong Emergency Medicine 1095 5th Ave N, St. Petersburg, FL 33705 2016-06-20
1437550084 Community Health Center of Pinellas Inc Clinic/Center 612 Dr Martin L King St N, St Petersburg, FL 33705 2014-09-12
1164851754 Jennifer Carey Counselor 11 Mlk Jr St South, St. Petersburg, FL 33705 2013-11-05
1750623997 Dannaly Reyes Baerga Physical Medicine & Rehabilitation 1201 5th Ave N Ste 202, St Petersburg, FL 33705 2013-03-26
1518209055 Nii Sai Torto Emergency Medicine 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 2013-03-22
1790034635 Melissa White Kidwell Physical Therapist 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 2012-09-06
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Taxonomy Information

Taxonomy Code 208VP0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285665851 West Florida Pain Management Pa Pain Medicine 603 7th St S Ste 320, St Petersburg, FL 33701 2006-07-05
1386953404 St Petersburg Pain & Urgent Care Pain Medicine 4900 33rd Ave N, St Petersburg, FL 33710-2102 2010-10-07
1831123686 Gerald Trimble Pain Medicine 603 7th St S Ste 320, St Petersburg, FL 33701 2006-07-10
1548291172 Susan Samlaska Pain Medicine 603 7th St S, Ste 340, St Petersburg, FL 33701-4719 2006-07-05

Providers in the same taxonomy and state

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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Competitor

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City ST PETERSBURG
Zip Code 33705

Improve Information

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Dataset Information

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.

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