PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC (NPI# 1942603899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942603899 |
Entity Type | Organization |
Organization Name | PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC |
Practice Address |
10250 Normandy Boulevard Suite 702 Jacksonville FL 32221 |
Mailing Address |
10250 Normandy Blvd Suite 703 Jacksonville FL 32221-8059 |
Practice Telephone | 9044957200 |
Practice Fax Number | 9044957199 |
Mailing Telephone | 9044957200 |
Mailing Fax Number | 9044957199 |
Enumeration Date | 2014-10-07 |
Last Update Date | 2017-01-27 |
Authorized Official Name | DR. PARVEEN KHANNA (MEDICAL DIRECTOR) |
Authorized Official Telephone | 9044957200 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | ME87424 | FL | Allopathic & Osteopathic Physicians |
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME87424 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE RR | DV2304 | 01 |
FL | BLUECROSSBLUESHIELD | 007Z4 | 01 |
Street Address |
10250 NORMANDY BOULEVARD SUITE 702 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568092534 | Ronetta S Wright | Non-emergency Medical Transport (VAN) | 8450 Perryman Ln N, Jacksonville, FL 32221 | 2020-01-18 |
1770128910 | Anointed Hands Support Services LLC | In Home Supportive Care | 11448 Emma Oaks Ln, Jacksonville, FL 32221 | 2019-11-12 |
1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
1659892743 | Sebastian Isaza | Dentist | 11043 Crystal Springs Rd Ste 20, Jacksonville, FL 32221 | 2017-06-29 |
1518497031 | Valda M Brown | Nurse's Aide | 11201 Lothmore Rd, Jacksonville, FL 32221 | 2017-06-18 |
1376950501 | Daniel C Marin | Physician Assistant | 1584 Normandy Village Pkwy Ste 32, Jacksonville, FL 32221 | 2014-07-21 |
1508001850 | Lilliam Rivera | Registered Nurse | 2236 Brian Lakes Dr. E, Jacksonville, FL 32221 | 2008-12-15 |
1992979777 | La Quenda Mosby Pharr | Community Health Worker | 10361 Shelby Creek Rd.s, Jacksonville, FL 32221 | 2008-04-14 |
1922167196 | Donald Robert Engels Jr. | Chiropractor | 7661 Knoll Dr N, Jacksonville, FL 32221 | 2006-12-06 |
1437245818 | Daniel Barron | Technician, Other | 13520 Aerospace Way, Cecil Field, Hanger 13, Jacksonville, FL 32221 | 2006-10-05 |
Find all providers in zip 32221 |
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 |
---|---|---|---|---|
1306351432 | Carteret Surgical Associates P.a. | Anesthesiology | 2145 Country Club Rd Ste 400, Jacksonville, NC 28546-2400 | 2017-12-12 |
1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
1316179245 | Advanced Pain Management Clinic, LLC | Anesthesiology | 5757 Booth Road, Bldg 100, Jacksonville, FL 32207 | 2009-08-11 |
1639297328 | Reynaldo Pardo | Anesthesiology | 12078 San Jose Blvd Ste 2, Jacksonville, FL 32223-8671 | 2007-03-27 |
1144378514 | Cesar A Gorospe | Anesthesiology | 7240 San Pedro Rd, Jacksonville, FL 32217-3408 | 2007-01-08 |
1104922541 | Orlando Garay Florete Jr. | Anesthesiology | 4131 University Blvd S Ste 12, Jacksonville, FL 32216-4352 | 2006-09-15 |
1497711733 | Metropolitan Pain Management | Anesthesiology | 4063 Salisbury Road North, Suite 206, Jacksonville, FL 32216 | 2006-04-25 |
1639140866 | Patrick James Burns | Anesthesiology | 2700 Riverside Ave Ste 2, Jacksonville, FL 32205 | 2006-01-27 |
1912978149 | Christopher Roberts | Anesthesiology | 10475 Centurion Pkwy N Ste 201, Jacksonville, FL 32256-5004 | 2006-01-27 |
1144290677 | Jerry Richard Foltz II | Anesthesiology | 4796 Hodges Blvd, Suite 101-104, Jacksonville, FL 32224 | 2006-01-26 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32221 |
Please comment or provide details below to improve the information on PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC.
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.