DAVID M HERSON (NPI# 1316942030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316942030 |
| Entity Type | Individual |
| Full Name | DAVID M HERSON |
| Credential | MD |
| Practice Address |
21756 State Road 54 Suite 102a Lutz FL 33549-2905 |
| Mailing Address |
14701 Croydon Pl Tampa FL 33618-2160 |
| Practice Telephone | 8134435817 |
| Practice Fax Number | 8134435818 |
| Mailing Telephone | 8134435817 |
| Mailing Fax Number | 8134435818 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2009-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME61297 | FL | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ME61297 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 2593507 | 01 |
| FL | RAILROAD MEDICARE | 720000186 | 01 |
| FL | AVMED | 279800 | 01 |
| FL | AETNA | 4565372 | 01 |
| FL | 261340900 | 05 | |
| FL | BCBS OF FL | 58760 | 01 |
| Street Address |
21756 STATE ROAD 54 SUITE 102A |
| City | LUTZ |
| State | FL |
| Zip Code | 33549-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821429911 | Optimal Performance and Physical Therapies-lutz, LLC | Clinic/Center | 21756 State Road 54, Suite 102, Lutz, FL 33549-2905 | 2013-11-28 |
| 1336455906 | Samantha L Herrick | Physical Therapist | 21756 State Road 54, Ste 102, Lutz, FL 33549-2905 | 2010-08-20 |
| 1356573489 | David Herson Md Pa | Anesthesiology | 21756 State Road 54, Suite 102a, Lutz, FL 33549-2905 | 2009-08-24 |
| 1720115405 | William Shannon Merrick | Physical Therapist | 21756 State Road 54, Ste 102, Lutz, FL 33549-2905 | 2007-02-28 |
| 1275630386 | Mandi L Lewis | Physical Therapist | 21756 State Road 54, #102, Lutz, FL 33549-6921 | 2006-09-20 |
| 1821087107 | Vanda Andelova | Physical Therapist | 21756 State Road 54, Ste 102, Lutz, FL 33549-2905 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659901189 | Keri L Freeman | Counselor | 1550 Michelin Court, Lutz, FL 33549 | 2020-01-23 |
| 1699335794 | Michaela C Elza | Behavior Technician | 18288 Us-41 S, Lutz, FL 33549 | 2019-06-19 |
| 1760923437 | Behavior Modification Solutions Aba, LLC | Behavioral Analyst | 1941 Crape Myrtle Loop, 205, Lutz, FL 33549 | 2017-03-15 |
| 1417497157 | Donna Ford | Counselor | 1511 Michelin Court, Lutz, FL 33549 | 2017-02-28 |
| 1376957985 | Absolute Pharmacy, LLC | Pharmacy | 16011 N. Nebraska Ave, Suite 103, Lutz, FL 33549 | 2014-06-12 |
| 1144568544 | Christine Cook | Speech-Language Pathologist | 16102 N. Florida Ave., Tampa, FL 33549 | 2013-01-21 |
| 1174803001 | Jennifer Marie Martinc | Occupational Therapy Assistant | 16102 N. Florida Avenue, Lutz, FL 33549 | 2011-08-23 |
| 1871741975 | Joseph J. Ferrandino | Counselor | 16120 N. Florida Ave., Lutz, FL 33549 | 2008-09-03 |
| 1588835011 | Priti Nmi Bapna | Dentist | 1528 Land O'lakes Blvd, Suite 101, Lutz, FL 33549 | 2008-03-12 |
| 1831382381 | Denise N Sarco-stipe | Speech-Language Pathologist | 16102 N. Florida Ave, Suite 910, Lutz, FL 33549 | 2007-08-18 |
| Find all providers in zip 33549 | ||||
| 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 |
|---|---|---|---|---|
| 1407176506 | Padgett Medical Center, LLC | Pain Medicine | 18952 Dale Mabry Hwy N Ste 101, Lutz, FL 33548-4916 | 2010-06-11 |
| 1225365489 | Gulf-to-bay Anesthesiology Associates LLC | Pain Medicine | 4961 Van Dyke Rd, Lutz, FL 33558-4813 | 2009-11-09 |
| 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 | ||||
Please comment or provide details below to improve the information on DAVID M HERSON.
| 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.