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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ME85040 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 269485900 | 05 |
Street Address |
620 10TH ST N SUITE 2D |
City | ST PETERSBURG |
State | FL |
Zip Code | 33705-1407 |
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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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 |
Find all providers in zip 33705 |
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 |
---|---|---|---|---|
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 |
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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City | ST PETERSBURG |
Zip Code | 33705 |
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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.