DR. RAVI MIRPURI (NPI# 1679856710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679856710 |
| Entity Type | Individual |
| Full Name | DR. RAVI MIRPURI |
| Credential | D.O. |
| Practice Address |
4513 Executive Dr Ste 101 Naples FL 34119 |
| Mailing Address |
Po Box 110820 Naples FL 34108-0114 |
| Practice Telephone | 2395912803 |
| Practice Fax Number | 2395912803 |
| Mailing Telephone | 2395912803 |
| Mailing Fax Number | 2395945637 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
OS11794 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | UO2718 | FL | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
OS11794 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Goodlette Frank Rd Ste 103, Naples, FL 341025662 | 2395912803 | 2395945637 |
| Street Address |
4513 EXECUTIVE DR STE 101 |
| City | NAPLES |
| State | FL |
| Zip Code | 34119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427199322 | Adriana Crystal Kinn | Nurse Practitioner | 4513 Executive Dr Ste 101, Naples, FL 34119-9033 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
| Find all providers in zip 34119 | ||||
| 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 |
|---|---|---|---|---|
| 1902313901 | Friedman Pain Management | Pain Medicine | 311 Tamiami Trl N Ste 200, Naples, FL 34102-5887 | 2017-12-29 |
| 1285152843 | Korunda Medical, LLC | Pain Medicine | 6101 Pine Ridge Rd # Desk1213, Naples, FL 34119-3900 | 2017-09-05 |
| 1588663595 | F Desmond Hussey IIi | Pain Medicine | 130 Tamiami Trl N Ste 250, Naples, FL 34102-6233 | 2005-07-20 |
| 1013476936 | Dr Glenn M Flanagan Md Pa | Pain Medicine | 2950 Tamiami Trl N Ste 13, Naples, FL 34103-4420 | 2019-03-19 |
| 1669536645 | Neuroscience and Spine Associates, Pl | Pain Medicine | 130 Tamiami Trl N Ste 250, Naples, FL 34102-6233 | 2006-12-21 |
| 1619928512 | First Anesthesia Associates Inc | Pain Medicine | 730 Goodlette Rd N, Suite 200, Naples, FL 34102 | 2006-05-15 |
| 1104876861 | Zdenko Korunda | Pain Medicine | 4513 Executive Dr, Naples, FL 34119-8884 | 2006-05-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.