PAIN CENTER OF CENTRAL FL PA (NPI# 1013025162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013025162 |
| Entity Type | Organization |
| Organization Name | PAIN CENTER OF CENTRAL FL PA |
| Practice Address |
3861 Oakwater Cir Ste 2 Orlando FL 32806-6258 |
| Practice Telephone | 4076497800 |
| Practice Fax Number | 4076499881 |
| Mailing Telephone | 4076497800 |
| Mailing Fax Number | 4076499881 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | DR. EUGENE AVERY MELVIN JR. (PRESIDENT) |
| Authorized Official Telephone | 4076497800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME0055539 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA PPO | 1669423001 | 01 |
| FL | AVMED | 208633 | 01 |
| FL | CIGNA HMO | 1669423007 | 01 |
| FL | BCBS | 09101 | 01 |
| Street Address |
3861 OAKWATER CIR STE 2 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053429019 | Eugene Avery Melvin Jr. | Anesthesiology | 3861 Oakwater Cir Ste 2, Orlando, FL 32806-6258 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| 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 |
|---|---|---|---|---|
| 1851576854 | Taufiq Ahmed | Anesthesiology | 1736 33rd St Ste 100, Orlando, FL 32839 | 2008-01-08 |
| 1760417786 | Richard L Smith | Anesthesiology | 138 E Gore St, Orlando, FL 32806-1268 | 2006-07-11 |
| 1821037193 | Richard S Krugman | Anesthesiology | 8609 Forest City Rd, Orlando, FL 32810 | 2006-06-05 |
| 1144292913 | Monica Lynn Mcphail-pruitt | Anesthesiology | 6903 W Colonial Dr, Orlando, FL 32818-6829 | 2006-02-06 |
| 1184987323 | Pain Physicians of Central Florida, P.a. | Anesthesiology | 7328 Stonerock Cir, Orlando, FL 32819-8000 | 2012-06-22 |
| 1548557580 | Sandeep V Pillarisetty | Anesthesiology | 1507 S Hiawassee Rd Ste 105, Orlando, FL 32835-5706 | 2011-06-28 |
| 1063689511 | Advanced Pain Clinic Pa | Anesthesiology | 3901 E Colonial Dr, Orlando, FL 32803-5245 | 2008-05-14 |
| 1609043272 | Southwest Anesthesia and Pain Management Pa | Anesthesiology | 5979 Vineland Rd Ste 207, Orlando, FL 32819-7855 | 2008-05-13 |
| 1528257524 | Cesar Augusto Lassalle-nieves | Anesthesiology | 1170 S Semoran Blvd, Orlando, FL 32807-1458 | 2007-10-16 |
| 1639370398 | Ricardo Nieves-ramos | Anesthesiology | 7350 Sandlake Commons Blvd, Suite 3322, Orlando, FL 32819-8040 | 2007-05-30 |
| Find all providers in ORLANDO | ||||
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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.