UNIVERSITY PAIN ASSOCIATES, LLC (NPI# 1306274048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306274048 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PAIN ASSOCIATES, LLC |
| Practice Address |
431 Southwest Blvd N St Petersburg FL 33703-1399 |
| Mailing Address |
204 37th Ave N #125 St Petersburg FL 33704-1416 |
| Practice Telephone | 7278223500 |
| Practice Fax Number | 7278223228 |
| Mailing Telephone | 7278223500 |
| Mailing Fax Number | 7278223228 |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |
| Authorized Official Name | GREGORY N. KOZLOV (PRESIDENT & MANAGING MEMBER) |
| Authorized Official Telephone | 7278223500 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | OS11865 | FL | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
OS11865 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
431 SOUTHWEST BLVD N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-1399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093790925 | Bhumi Mehta Upadhyay | Pediatrics | 431 Southwest Blvd N, St Petersburg, FL 33703-1399 | 2005-12-14 |
| 1043672835 | Michael O'halleran | Pediatrics | 431 Southwest Blvd N, St Petersburg, FL 33703-1399 | 2016-03-22 |
| 1760753628 | Ntcf LLC | Physical Medicine & Rehabilitation | 431 Southwest Blvd N, St Petersburg, FL 33703-1399 | 2012-01-24 |
| 1588961247 | Hartley Health Care Services Inc | Clinic/Center | 431 Southwest Blvd N, Suite, St Petersburg, FL 33703-1399 | 2011-02-16 |
| 1174859052 | Medical Group of Pinellas, Pa | Pediatrics | 431 Southwest Blvd N, St Petersburg, FL 33703-1399 | 2009-10-27 |
| 1083703243 | Felicia Spuza | Family Medicine | 431 Southwest Blvd N, St Petersburg, FL 33703-1399 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455671 | Robert J. Siegel | Anesthesiology | 5425 Park St N, Suite 6-w, St Petersburg, FL 33709-7062 | 2005-11-22 |
| 1346238748 | Devang M Padalia | Anesthesiology | 6333 54th Ave N, St Petersburg, FL 33709 | 2005-10-10 |
| 1881983500 | Raviinder Singh Parmar | Anesthesiology | 6798 Crosswinds Dr N Ste E102, St Petersburg, FL 33710-5479 | 2011-04-04 |
| 1841432291 | Jibin Valiyaveettil Samuel | Anesthesiology | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2009-04-01 |
| 1346481165 | Allison Manuela Fernandez | Anesthesiology | 601 5th St S, St Petersburg, FL 33701-4804 | 2009-03-09 |
| 1861521387 | Atul Kshatri Md Pa | Anesthesiology | 2323 9th Ave N, Suite 200, St Petersburg, FL 33713-6832 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181087 | John Peter Lafferty Iv | Anesthesiology | 2039 Hillview St Apt 4, Sarasota, FL 34239-2396 | 2020-07-10 |
| 1679197735 | Dynamic Pain & Wellness Pllc | Anesthesiology | 325 John Knox Rd Bldg 200, Tallahassee, FL 32303-4114 | 2020-06-04 |
| 1689294621 | Advanced Pain Management and Wellness Center | Anesthesiology | 241 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2020-04-20 |
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1346886033 | Spine and Orthopedic Specialists of Tampa, LLC | Anesthesiology | 6919 N Dale Mabry Hwy Ste 325, Tampa, FL 33614-3860 | 2019-11-18 |
| 1700446077 | Gulf Coast Pain Consultants LLC | Anesthesiology | 182 A East Redstone Ave, Crestview, FL 32539-5371 | 2019-06-18 |
| 1265099386 | Gulf Coast Pain Consultants LLC | Anesthesiology | 10437 Sorrento Rd Ste 203, Pensacola, FL 32507-7620 | 2019-05-23 |
| 1023673951 | Apollo Pain Management | Anesthesiology | 720 Cortaro Drive, Sun City Center, FL 33573 | 2019-05-06 |
| 1861056384 | Englewood Pain Management LLC | Anesthesiology | 2061 Englewood Rd Ste 2a, Englewood, FL 34223-1747 | 2019-04-30 |
| 1962066241 | Doctors Best Wellness Centers Inc | Anesthesiology | 2237 N Commerce Pkwy Ste 3, Weston, FL 33326-3250 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
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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.