DR. AARON JAY SHORES (NPI# 1982702643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982702643 |
| Entity Type | Individual |
| Full Name | DR. AARON JAY SHORES |
| Credential | MD |
| Practice Address |
2103 Jenks Ave Panama City FL 32405-4511 |
| Practice Telephone | 8507638000 |
| Practice Fax Number | 8507851122 |
| Mailing Telephone | 8507638000 |
| Mailing Fax Number | 8507851122 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME89523 | FL | Other Service Providers |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME89523 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269676200 | 05 | |
| FL | DMERC PTAN | 3857260001 | 01 |
| FL | RAILROAD MEDICARE | P01081805 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891143848 | Aaron Shores | Physical Therapist | 115 Village Sq Ste K, Brandon, MS 39047-6069 | 2016-06-01 |
| Street Address |
2103 JENKS AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730687864 | Taylor Bailey | Nurse Practitioner | 2103 Jenks Ave, Panama City, FL 32405-4511 | 2018-01-23 |
| 1255707535 | Amanda Garner | Physician Assistant | 2103 Jenks Ave, Panama City, FL 32405-4511 | 2015-08-20 |
| 1518246560 | Dream Medical, LLC | Specialist | 2103 Jenks Ave, Panama City, FL 32405-4511 | 2011-08-09 |
| 1114137114 | Thomas J Derbes Md Pa | Pain Medicine | 2103 Jenks Ave, Panama City, FL 32405-4511 | 2007-05-22 |
| 1407935265 | Denise C Leete | Nurse Practitioner | 2103 Jenks Ave, Panama City, FL 32405-4511 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| 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 |
|---|---|---|---|---|
| 1689184178 | Dynamic Pain & Wellness Pllc | Pain Medicine | 2110 W 23rd St Ste C, Panama City, FL 32405-2370 | 2017-10-10 |
| 1679783948 | Consult Care Pain Medicine P A. | Pain Medicine | 501 Airport Rd, Panama City, FL 32405-4010 | 2007-05-23 |
| 1114137114 | Thomas J Derbes Md Pa | Pain Medicine | 2103 Jenks Ave, Panama City, FL 32405-4511 | 2007-05-22 |
| 1568450625 | Thomas J Derbes | Pain Medicine | 2202 State Ave, Ste 101, Panama City, FL 32405-4539 | 2005-10-12 |
| 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 | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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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.