CLEARWATER PAIN MANAGEMENT ASSOCIATES (NPI# 1477585883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477585883 |
| Entity Type | Organization |
| Organization Name | CLEARWATER PAIN MANAGEMENT ASSOCIATES |
| Practice Address |
430 Morton Plant St Suite 210 Clearwater FL 33756-3398 |
| Mailing Address |
300 Jeffords St Suite B Clearwater FL 33756-3810 |
| Practice Telephone | 7274464506 |
| Practice Fax Number | 7274464695 |
| Mailing Telephone | 7274411524 |
| Mailing Fax Number | 7274434206 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-05-11 |
| Authorized Official Name | DR. EDWARD CHEN (PHYSICIAN) |
| Authorized Official Telephone | 7274464506 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257510800 | 05 |
| Street Address |
430 MORTON PLANT ST SUITE 210 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896699 | Thurman Johnson Ross | Specialist | 430 Morton Plant St, Suite 206, Clearwater, FL 33756-3398 | 2005-10-25 |
| 1346693231 | Jacqueline Brooke Johnson | Physician Assistant | 430 Morton Plant St, Suite 301, Clearwater, FL 33756-3395 | 2016-07-15 |
| 1366898108 | Advanced Urology Institute | Non-Pharmacy Dispensing Site | 430 Morton Plant St, Suite 206, Clearwater, FL 33756-3398 | 2016-05-11 |
| 1487014171 | Kristen Hicks | Occupational Therapist | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2016-02-24 |
| 1073998985 | Adam Pignon | Physical Therapist | 430 Morton Plant St, 206, Clearwater, FL 33756-3398 | 2015-07-22 |
| 1639426810 | Christopher Michael Edelman | Physician Assistant | 430 Morton Plant St, Suite 301, Clearwater, FL 33756-3398 | 2012-08-07 |
| 1104180280 | Shannon Marie Barsema | Clinical Neuropsychologist | 430 Morton Plant St, Suite 402, Clearwater, FL 33756-3398 | 2012-07-03 |
| 1083980767 | Antonia M Favacho | Physical Therapy Assistant | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2012-03-28 |
| 1881968873 | Nancy Carol Blair | Speech-Language Pathologist | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2012-03-08 |
| 1275807570 | Carly Runkles | Physical Therapist | 430 Morton Plant St, Suite 101, Clearwater, FL 33756-3398 | 2012-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790094829 | Pain Care Management of Clearwater, LLC | Clinic/Center | 51 S Main Ave, Suite 318, Clearwater, FL 33765-3952 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218180 | Alicia's LLC | Clinic/Center | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
| 1457815474 | Kadia Medical, LLC | Clinic/Center | 813 Deltona Blvd Ste A, Deltona, FL 32725-7154 | 2019-01-23 |
| 1891262358 | First Coast Pain Consultants Pllc | Clinic/Center | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-01 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1962917153 | Rejuveunique, Inc | Clinic/Center | 4259 10th Ave N Ste B, Palm Springs, FL 33461-2323 | 2017-12-10 |
| 1457866782 | Freedom Pain Management, Lcc | Clinic/Center | 8198 S Jog Rd Ste 100, Boynton Beach, FL 33472-2998 | 2017-12-08 |
| 1134632474 | North Florida Sports and Spine Center Inc. | Clinic/Center | 1540 Business Center Dr Ste C, Fleming Island, FL 32003-4419 | 2017-11-08 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on CLEARWATER PAIN MANAGEMENT ASSOCIATES.
| 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.