PAIN MEDICINE INSTITUTE PLLC (NPI# 1629020508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629020508 |
| Entity Type | Organization |
| Organization Name | PAIN MEDICINE INSTITUTE PLLC |
| Practice Address |
6815 14th St W Suite 204 Bradenton FL 34207-5810 |
| Mailing Address |
Po Box 277999 Atlanta GA 30384-7999 |
| Practice Telephone | 3528678898 |
| Practice Fax Number | 3527326282 |
| Mailing Telephone | 3528678898 |
| Mailing Fax Number | 3527326282 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-09-15 |
| Authorized Official Name | DR. RAYMON PRIEWE (MD) |
| Authorized Official Telephone | 3528678898 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | FL | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 80785 | 01 |
| Street Address |
6815 14TH ST W SUITE 204 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34207-5810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565362 | Raymon Dean Priewe | Anesthesiology | 6815 14th St W, Suite204, Bradenton, FL 34207-5810 | 2005-08-11 |
| 1093930323 | Dr Richard M Tambe D C Pa | Chiropractor | 6815 14th St W, Suite 107, Bradenton, FL 34207-5810 | 2007-04-13 |
| 1215080825 | Richard Michael Tambe | Chiropractor | 6815 14th St W, Suite 107, Bradenton, FL 34207-5810 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932760543 | Yaima Alba | Dentist | 1602 State Hwy 684 W, Bradenton, FL 34207 | 2019-06-25 |
| 1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
| 1265817829 | Elizabeth Anne Gross Baumgartner | Nurse Practitioner | 5515 27th St West, Bradenton, FL 34207 | 2015-07-24 |
| 1710152673 | Oasis Temps Health Care, Inc. | Nursing Care | 4814 26th Street West, Unit B, Bradenton, FL 34207 | 2008-04-22 |
| 1669694873 | Comfortable Care Dental Health Professionals, Pa | Dentist | 6513 14th Street West, Suite 131, Bradenton, FL 34207 | 2007-05-03 |
| 1831258524 | Susan Marie Mackey | Counselor | New View Counseling, 4506 26th Street West Suite C, Bradenton, FL 34207 | 2006-12-08 |
| 1073672333 | Debra K Carter | Psychologist | 4835 27th St West, Suite 125, Bradenton, FL 34207 | 2006-12-06 |
| 1033285952 | Neuromuscular Insitutute Inc | Physical Therapist | 4802 26th St West, Suite C, Bradenton, FL 34207 | 2006-11-24 |
| 1346315561 | Judith Rhea Korn | Social Worker | 6108 26th St West, Suite 3b, Bradenton, FL 34207 | 2006-11-22 |
| 1770652018 | Richard Allen Feasley | Dentist | 4418 5th St W, Bradenton, FL 34207 | 2006-11-08 |
| Find all providers in zip 34207 | ||||
| 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 |
|---|---|---|---|---|
| 1578565362 | Raymon Dean Priewe | Anesthesiology | 6815 14th St W, Suite204, Bradenton, FL 34207-5810 | 2005-08-11 |
| 1790330694 | Premier Anesthesia of Florida LLC | Anesthesiology | 2020 59th St W, Bradenton, FL 34209-4604 | 2019-08-07 |
| 1699189449 | Smh Physician Services Inc | Anesthesiology | 1040 River Heritage Blvd, Suite 201, Bradenton, FL 34212-6348 | 2014-06-19 |
| 1730593773 | Smh Physician Services Inc | Anesthesiology | 1040 River Heritage Blvd, Suite 202, Bradenton, FL 34212-6348 | 2014-06-18 |
| 1891917779 | Douglas Lionel Constant | Anesthesiology | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2007-05-02 |
| 1285740720 | Coastal Orthopedics & Sports Medicine of Southwest Florida Pa | Anesthesiology | 6015 Pointe West Blvd, Bradenton, FL 34209-5532 | 2006-08-21 |
| 1841266202 | Richard H Bundschu | Anesthesiology | 6015 Pointe West Blvd, Bradenton, FL 34209-5532 | 2006-02-27 |
| 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 | ||||
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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.