INNOVATIVE SPINE CARE, INC. (NPI# 1932484367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932484367 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE SPINE CARE, INC. |
| Practice Address |
1700 N Mcmullen Booth Rd Suite A2-1 Clearwater FL 33759-2130 |
| Mailing Address |
7000 Beach Plz Apt 901 St Pete Beach FL 33706-3662 |
| Practice Telephone | 7273606315 |
| Practice Fax Number | 4082288953 |
| Mailing Telephone | 7273606315 |
| Mailing Fax Number | 4082288953 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | DR. STEPHEN DAVID WATSON (OWNER) |
| Authorized Official Telephone | 7273606315 |
| 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 |
ME 105674 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1700 N MCMULLEN BOOTH RD SUITE A2-1 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33759-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619967528 | William Alvarez | Family Medicine | 1700 N Mcmullen Booth Rd, Suite C3, Clearwater, FL 33759-2130 | 2005-10-24 |
| 1356743207 | Elite Sports Podiatry, Pa | Podiatrist | 1700 N Mcmullen Booth Rd, Suite C-2, Clearwater, FL 33759-2130 | 2014-09-23 |
| 1922438498 | Lisa Cozzini | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2013-11-20 |
| 1386080612 | Vyacheslav Scott Gutkin | Family Medicine | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2013-05-14 |
| 1104166057 | Emma Zainabu Sandi | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2013-02-28 |
| 1184975492 | Saigi P Simon | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2012-09-26 |
| 1326315987 | Lucinda J Rau | Nurse Practitioner | 1700 N Mcmullen Booth Rd, D1, Clearwater, FL 33759-2130 | 2011-11-28 |
| 1346560422 | Alcrista Investments, Inc. | Home Health | 1700 N Mcmullen Booth Rd, Suite B-3, Clearwater, FL 33759-2130 | 2010-06-11 |
| 1235369174 | Donna Faye Theiss | Nurse Practitioner | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2009-07-24 |
| 1619121639 | Zahid Mehmood Malik | Internal Medicine | 1700 N Mcmullen Booth Rd, Suite D1, Clearwater, FL 33759-2130 | 2008-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487163119 | Neil Hook, O.d. and Associates, P.a. | Optometrist | 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 | 2017-09-26 |
| 1306366224 | Caitlin Elise Sullivan | Chiropractor | 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 | 2017-06-21 |
| 1881018851 | Monica Adam | Counselor | 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 | 2014-02-12 |
| 1174868509 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 | 2012-12-12 |
| 1336485762 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Drive, Clearwater, FL 33759 | 2012-12-12 |
| 1710245279 | Allison H Aschenbrenner | Physical Therapist | 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 | 2012-05-02 |
| 1538454954 | Elizabeth M Smith | Occupational Therapist | 4902 Creekside Drive Suite A, Clearwater, FL 33759 | 2011-06-14 |
| 1487886164 | Christina D Brown | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2009-08-14 |
| 1548408248 | Len F. Leeb | Counselor | 2641 Harbor Circle, Clearwater, FL 33759 | 2009-02-03 |
| 1750544615 | Dolphin II Diagostics Inc. | Contractor | 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 | 2008-07-09 |
| Find all providers in zip 33759 | ||||
| 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 |
|---|---|---|---|---|
| 1669619623 | Alfred B Chapman, Do, Pa | Pain Medicine | 1220 Turner St, Suite F, Clearwater, FL 33756-5987 | 2009-01-13 |
| 1245431360 | Alexis Patrice Henderson | Pain Medicine | 51 S. Main Ave, Suite 318, Clearwater, FL 33765 | 2007-05-29 |
| 1093955676 | F&s Aam, LLC | Pain Medicine | 24945 Us Highway 19 N, Clearwater, FL 33763-3927 | 2009-02-23 |
| 1013050939 | Mohammad Hossein Gharavi | Pain Medicine | 51 S Main Ave, Suite 318, Clearwater, FL 33765-3952 | 2007-02-14 |
| 1619948429 | Ashraf Hanna | Pain Medicine | 2250 Drew St, Clearwater, FL 33765-3305 | 2006-01-30 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33759 |
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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.