ADVANCED PAIN MANAGEMENT SPECIALISTS (NPI# 1437248150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437248150 |
| Entity Type | Organization |
| Organization Name | ADVANCED PAIN MANAGEMENT SPECIALISTS |
| Other Organization Name | ADVANCED PAIN MANAGEMENT AND SPINE SPECIALISTS |
| Practice Address |
1425 Viscaya Pkwy Suite 202 Cape Coral FL 33990-3294 |
| Mailing Address |
Po Box 07400 Fort Myers FL 33919-0400 |
| Practice Telephone | 2395741464 |
| Practice Fax Number | 2395741286 |
| Mailing Telephone | 2394378000 |
| Mailing Fax Number | 2394379991 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JONATHAN S. DAITCH (PARTNER) |
| Authorized Official Telephone | 2394378002 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS/FL GROUP NUMBER | 74588 | 01 |
| FL | AETNA GROUP NUMBER | 7926233 | 01 |
| FL | RAILROAD MEDICARE GROUP # | CH8338 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Pain Management and Spine Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215982665 | Advanced Pain Management Specialists | Anesthesiology | 8255 College Pkwy, Suite 200, Fort Myers, FL 33919-5193 | 2006-05-24 |
| Street Address |
1425 VISCAYA PKWY SUITE 202 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33990-3294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134524366 | Patricia J. Dury Md, Pa | Obstetrics & Gynecology | 1425 Viscaya Pkwy, Suite # 202, Cape Coral, FL 33990-3294 | 2014-10-30 |
| 1114274230 | Jennifer E Pena | Physical Therapist | 1425 Viscaya Pkwy, Suite 205, Cape Coral, FL 33990-3294 | 2012-08-08 |
| 1174818801 | Jeffrey Gene Poirier | Physical Therapist | 1425 Viscaya Pkwy, Suite 205, Cape Coral, FL 33990-3294 | 2011-06-10 |
| 1861725624 | Jeffrey Paul Calandra | Physical Therapist | 1425 Viscaya Pkwy, Suite 205, Cape Coral, FL 33990-3294 | 2009-09-11 |
| 1689857435 | Advandced Pain Mgmt Specialist | Non-Pharmacy Dispensing Site | 1425 Viscaya Pkwy, #202, Cape Coral, FL 33990-3294 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1386259208 | Hope of Life Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 2328 Hancock Bridge Pkwy 1st Fl Ste 114-e, Cape Coral, FL 33990 | 2020-09-09 |
| 1669001814 | Jamie Lindon Kohl | Specialist/Technologist | 605 Se 13th Ct, Cape Coral, FL 33990 | 2020-04-08 |
| 1548809551 | Medical Risk Solutions | Family Medicine | 1020 Cultural Park Blvd, Cottage #7, Cape Coral, FL 33990 | 2019-12-23 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1215429279 | Five Star Homecare LLC | Adult Companion | 629 Se 10th Pl, Cape Coral, FL 33990 | 2018-06-05 |
| 1730679192 | Amanda Tiana Bright | Developmental Therapist | 1507 Se 18th St, Cape Coral, FL 33990 | 2018-05-11 |
| 1487170908 | Natalie Diaz | Behavior Technician | 317 Se 16th Place, Cape Coral, FL 33990 | 2017-08-16 |
| 1679097273 | Centro Medico LLC | Clinic/Center | 1425 Viscaya Pkwy Ste 101, Cape Coral, FL 33990 | 2017-07-26 |
| 1629506308 | Besties LLC | Adult Companion | 518 Se 20th Ct, Cape Coral, FL 33990 | 2017-05-25 |
| Find all providers in zip 33990 | ||||
| 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 |
|---|---|---|---|---|
| 1780686345 | Jules Alva Preudhomme | Anesthesiology | 1228 Se 8th Ter, Cape Coral, FL 33990-3210 | 2005-08-12 |
| 1811159494 | Remone Tharwat Yousif | Anesthesiology | 650 Del Prado Blvd S Ste 106, Cape Coral, FL 33990-5617 | 2008-06-25 |
| 1962589671 | Premier Pain Specialists LLC | Anesthesiology | 1228 Se 8th Ter, Cape Coral, FL 33990-3210 | 2006-11-01 |
| 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 | CAPE CORAL |
| Zip Code | 33990 |
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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.