INSTITUTE OF PAIN MANAGEMENT PA (NPI# 1508068008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508068008 |
| Entity Type | Organization |
| Organization Name | INSTITUTE OF PAIN MANAGEMENT PA |
| Practice Address |
100 E Sample Rd #200 Pompano Beach FL 33064-3554 |
| Mailing Address |
Po Box 57970 Jacksonville FL 32241-7970 |
| Practice Telephone | 9545450106 |
| Practice Fax Number | 9545450107 |
| Mailing Telephone | 9047371838 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2017-10-31 |
| Authorized Official Name | MR. JONATHAN COIT KRUG (COO) |
| Authorized Official Telephone | 9045914150 |
| Is Organization Subpart | Y |
| Parent Organization Name | INSTITUTE OF PAIN MANAGEMENT PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0061410 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710072376 | Institute of Pain Management Pa | Pain Medicine | 1325 San Marco Blvd, Suite 4a, Jacksonville, FL 32207-8568 | 2006-10-03 |
| Street Address |
100 E SAMPLE RD #200 |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33064-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449084 | Sanford M Silverman | Specialist | 100 E Sample Rd, Ste 200, Pompano Beach, FL 33064-3554 | 2005-07-07 |
| 1700328440 | Nichi Surgical LLC | Surgery | 100 E Sample Rd, Suite 300, Pompano Beach, FL 33064-3554 | 2016-11-11 |
| 1710439245 | Sarah K. Weiss | Dietitian, Registered | 100 E Sample Rd, Suite 320, Pompano Beach, FL 33064-3554 | 2016-11-01 |
| 1306214606 | Rr Medco LLC | Clinic/Center | 100 E Sample Rd, Suite 320, Pompano Beach, FL 33064-3554 | 2015-09-03 |
| 1255670550 | Cynthia Alceus Dominique | Nurse Practitioner | 100 E Sample Rd, Unit 330, Pompano Beach, FL 33064-3554 | 2013-02-06 |
| 1023368164 | Prime Pediatric Associates, LLC | Pediatrics | 100 E Sample Rd, Ste 120, Pompano Beach, FL 33064-3554 | 2012-09-17 |
| 1871869008 | Synergy Dialysis Inc | Clinic/Center | 100 E Sample Rd, Suite 120, Pompano Beach, FL 33064-3554 | 2012-04-02 |
| 1710114558 | Keisha Goodison Do, Pa | Clinic/Center | 100 E Sample Rd, Suite 300, Pompano Beach, FL 33064 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398865 | I Heart Senior and Disable Services LLC | Day Training, Developmentally Disabled Services | 4331 Ne 6th Ave, Pompano Beach, FL 33064 | 2020-08-28 |
| 1912554437 | Nada Boskovic Md Pa | Internal Medicine | 1 W Sample Road, Suite 305, Pompano Beach, FL 33064 | 2019-08-20 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1568932598 | Cloann Joseph | Occupational Therapy Assistant | 401 E Sample Road, Deerfield Beach, FL 33064 | 2018-12-03 |
| 1255808788 | Select Rehab | Skilled Nursing Facility | 401 Sample Road, Pompano Beach, FL 33064 | 2018-11-02 |
| 1699283515 | Nancy Emilia Santiago | Behavior Technician | 600 Nw 33 St, Pompano Beach, FL 33064 | 2018-01-12 |
| 1194248112 | Mark Walter Gruber I | Counselor | 100 E Sample Rd., #320, Pompano Beach, FL 33064 | 2017-07-21 |
| 1699221531 | Precision Construction & Design Services Inc | Contractor | 1711 B Nw 33 Street, Pompano Beach, FL 33064 | 2016-08-31 |
| 1841645587 | Julia Kyung Yoo, Inc | Point of Service | 4510 N. Federal Hwy, Lighthouse Point, FL 33064 | 2016-05-02 |
| 1487050969 | Michael Sassine | Podiatrist | 2100 Ne 36th St Ste 203, Lighthouse Point, FL 33064 | 2014-11-12 |
| Find all providers in zip 33064 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942693809 | Vern Vito Skidmore | Specialist | 2206 S Cypress Bend Dr, #707, Pompano Beach, FL 33069-5631 | 2015-03-16 |
| 1871918409 | Ferdinando (fred) Balestriero | Specialist | 1511 Ne 33rd St, Pompano Beach, FL 33064-6731 | 2014-02-18 |
| 1548545858 | Javier H Londono | Specialist | 3507 Oaks Way, Suite 911, Pompano Beach, FL 33069-5395 | 2011-10-18 |
| 1770889230 | James Polito Md Pa | Specialist | 2716 Ne 14th Street Cswy, Pompano Beach, FL 33062-3501 | 2011-02-01 |
| 1144478298 | Eliana Morales | Specialist | 49 N Federal Hwy, #173, Pompano Beach, FL 33062-4304 | 2008-09-03 |
| 1306000211 | Kiprianos S Armenakis | Specialist | 2205 Bay Dr, Pompano Beach, FL 33062-2912 | 2008-07-10 |
| 1518135623 | Silas Mojave Mcclellan | Specialist | 150 S Andrews Ave Ste 410, Pompano Beach, FL 33069-3219 | 2008-02-12 |
| 1720100118 | Olga Dasilva Hosken | Specialist | 116 Gardens Dr, Apt 102, Pompano Beach, FL 33069-0946 | 2007-04-04 |
| 1407916026 | Physiotherapy Services Inc | Specialist | 950 N Federal Hwy, Suite 207, Pompano Beach, FL 33062-4315 | 2006-12-12 |
| 1306930953 | Irving Estrin | Specialist | 5 West Sample Road, Rand Eye Institute, Pompano Beach, FL 33064-3542 | 2006-10-03 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33064 |
Please comment or provide details below to improve the information on INSTITUTE OF PAIN MANAGEMENT PA.
| 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.