TAMPA INTERVENTIONAL SPINE PHYSICIANS LLC (NPI# 1508101296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508101296 |
| Entity Type | Organization |
| Organization Name | TAMPA INTERVENTIONAL SPINE PHYSICIANS LLC |
| Practice Address |
1000 W Kennedy Blvd Suite 201 Tampa FL 33606-1940 |
| Practice Telephone | 8132582225 |
| Practice Fax Number | 8132588118 |
| Mailing Telephone | 8132582225 |
| Mailing Fax Number | 8132588118 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-07 |
| Authorized Official Name | KORTNI FLYNN (OWNER) |
| Authorized Official Telephone | 9897141839 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
98264 | FL | Allopathic & Osteopathic Physicians |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
105149 | FL | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
105149 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1000 W KENNEDY BLVD SUITE 201 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073093175 | Vivify Plastic Surgery LLC | Surgery | 1000 W Kennedy Blvd, Suite 202, Tampa, FL 33606-2494 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023467974 | Pain and Supportive Care, Pa | Pain Medicine | 6612 Thornton Palms Dr, Tampa, FL 33647-5104 | 2016-06-10 |
| 1265625321 | Stephen D. Watson | Pain Medicine | 10903 Sheldon Rd, Tampa, FL 33626-4702 | 2007-08-22 |
| 1912105172 | Florida Gulf To Bay Anesthesiology Pain LLC | Pain Medicine | 118 S Oregon Ave, Tampa, FL 33606-1820 | 2007-07-10 |
| 1871791368 | Advanced Pain Care, Inc. | Pain Medicine | 1921 W Martin Luther King, Jr Blvd, Tampa, FL 33607 | 2007-07-05 |
| 1689880635 | Neurological Pain & Rehabilitation Institute LLC | Pain Medicine | 3010 E. 138th Ave, Suite #100, Tampa, FL 33613 | 2007-05-15 |
| 1558488452 | Alliance Medical Pain Management L L C | Pain Medicine | 10213 Lake Carroll Way, Suite A, Tampa, FL 33618-4405 | 2007-03-23 |
| 1407839806 | Dario Aquiles Grisales | Pain Medicine | 16542 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2005-11-21 |
| 1477183085 | Naps Medical LLC | Pain Medicine | 5810 W Cypress St Ste D, Tampa, FL 33607-1780 | 2020-01-22 |
| 1487028387 | Texas Pain Relief Group, Pllc | Pain Medicine | 4730 N Habana Ave Ste 300, Tampa, FL 33614-7148 | 2015-11-17 |
| 1043556186 | Erick A Grana Md Pa | Pain Medicine | 8011 N Himes Ave, Ste 2, Tampa, FL 33614-2700 | 2012-12-18 |
| Find all providers in TAMPA | ||||
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| 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.