METROPOLITAN PAIN MANAGEMENT (NPI# 1497711733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497711733 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN PAIN MANAGEMENT |
| Practice Address |
4063 Salisbury Road North Suite 206 Jacksonville FL 32216 |
| Practice Telephone | 9042963611 |
| Practice Fax Number | 9042963617 |
| Mailing Telephone | 9042963611 |
| Mailing Fax Number | 9042963617 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ISMAIL DIRGHAM SALAHI (PRESIDENT) |
| Authorized Official Telephone | 9042963611 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
OS6845 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED | 271598 | 01 |
| GA | BCBS OF GEORGIA | 52667803002 | 01 |
| FL | WORKERS COMPENSATION | OS6845 | 01 |
| FL | AETNA | 5121707 | 01 |
| Street Address |
4063 SALISBURY ROAD NORTH SUITE 206 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963403 | Jessica Hays | Nurse Practitioner | 4063 Salisbury Road North, Suite 202, Jacksonville, FL 32216 | 2019-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| 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 |
| 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 |
| 1285604793 | Claudio E Vincenty | Anesthesiology | 10475 Centurion Parkway N, Suite 201, Jacksonville, FL 32256-5004 | 2006-01-25 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on METROPOLITAN PAIN MANAGEMENT.
| 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.