TRAVIS RANDALL VON TOBEL


Address: 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410
Phone: 9046448472

TRAVIS RANDALL VON TOBEL (NPI# 1487954723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487954723
Entity Type Individual
Full Name TRAVIS RANDALL VON TOBEL
Credential M.D.
Practice Address 1895 Kingsley Ave Ste 903
Orange Park
FL 32073-4410
Mailing Address 1895 Kingsley Ave. #903
Orange Park
FL 32073
Practice Telephone 9046448472
Mailing Telephone 9046448472
Mailing Fax Number 9046448289
Enumeration Date 2010-11-02
Last Update Date 2017-09-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 244805 NY Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
ME117856 FL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2700 Riverside Ave, Suite 2, Jacksonville, FL 322058275 9042648801 9046210566

Office Location

Street Address 1895 KINGSLEY AVE STE 903
City ORANGE PARK
State FL
Zip Code 32073-4410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790011062 Maryann Kenneson Urology 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410 2009-10-21
1285182659 Florida Pain Specialists Pllc Skilled Nursing Facility 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410 2016-09-14
1285983098 Mary Ann Kenneson, M.d., LLC Specialist 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410 2012-09-07
1922335389 Jacksonville Ms and Neurology Center, P.a. Psychiatry & Neurology 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410 2009-11-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891309423 Kingsley Endoscopy Center LLC Clinic/Center 970 Kingsley Avenue, Orange Park, FL 32073 2020-09-01
1962028688 Esra Sari Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 2020-06-18
1104441146 Zeshan Tariq Malik Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 2020-06-16
1902421894 Ameer Hamza Student in an Organized Health Care Education/Training Program 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 2020-06-16
1497378103 Fawad Ahmed Rashid Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 2020-05-28
1477174985 Hannan Asghar Student in an Organized Health Care Education/Training Program Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 2020-05-06
1902427156 Emmanuel Iyanuloluwa Morakinyo Student in an Organized Health Care Education/Training Program 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 2020-04-29
1437799327 Dalande Leger Behavior Technician 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 2020-01-08
1215598313 Mohammad Harisullah Khan Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 2019-06-28
1558927970 Preetha Kamath Student in an Organized Health Care Education/Training Program Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 2019-05-10
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184171605 Institute for Health Sports Spine Rehabilitation & Pain Manage Pain Medicine 1895 Kingsley Ave, Orange Park, FL 32073-4466 2016-09-01
1013291517 Medical Partners of Jacksonville LLC Pain Medicine 1564 Kingsley Ave, Orange Park, FL 32073-4511 2011-10-03
1659508273 Clay Pain Center Physicians LLC Pain Medicine 1564 Kingsley Ave, Orange Park, FL 32073-4511 2009-06-22
1093957102 Cscn Pain Management LLC Pain Medicine 1564 Kingsley Ave, Orange Park, FL 32073-4511 2009-04-03
1255523957 Sunshine Spine and Pain Pa Pain Medicine 2021 Kingsley Ave, Suite 103, Orange Park, FL 32073-5174 2007-08-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659979706 Specialty Physician Services. LLC Pain Medicine 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 2020-10-12
1700403847 Advanced Interventional Pain Center Fl Pain Medicine 1831 N Belcher Rd Ste E1, Clearwater, FL 33765-1442 2020-07-05
1770108110 The Neomedicine Institute LLC Pain Medicine 2510 Nw 97th Ave Ste 110, Doral, FL 33172-1407 2020-06-11
1316583362 Lisa M Gonzalez Pain Medicine 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 2019-11-25
1306488820 Alberto Rivera-sanchez Pa Pain Medicine 201 W Canton Ave Ste 275, Winter Park, FL 32789-3148 2019-10-16
1912560798 Jacksonville Spine Center Pa Pain Medicine 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 2019-04-17
1942765144 Nixpain LLC Pain Medicine 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 2019-02-01
1346737749 Ceda Orthopedics Group, LLC. Pain Medicine 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 2018-04-20
1174025001 Lighthouse Point Surgery Center LLC Pain Medicine 1821 Ne 25th St Ste 100, Lighthouse Point, FL 33064-7744 2018-03-07
1801394440 Neuspine Therapy LLC Pain Medicine 12880 Us 301, Dade City, FL 33525-5801 2018-01-29
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Competitor

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City ORANGE PARK
Zip Code 32073

Improve Information

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Dataset Information

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.

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