Paul Bacon (NPI# 1609269125, PAC ID# 1052618584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1609269125 |
| PAC ID by PECOS | 1052618584 |
| Professional Enrollment ID | I20160329001960 |
| Full Name | Paul Bacon |
| Organization Legal Name | PAIN INSTITUTE OF TAMPA BAY PLC |
| Address |
15303 Amberly Dr Suite A Tampa FL 33647-2308 |
| Phone Number | 8137125700 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2014 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 5193715720 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13023 Summerfield Square Dr, Riverview, FL 33578-7402 | 8136779500 | BAIN COMPLETE WELLNESS LLC |
| 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 | 8137125700 | PAIN INSTITUTE OF TAMPA BAY PLC |
| Organization Legal Name | PAIN INSTITUTE OF TAMPA BAY PLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy D Palubin | Physical Therapy | Pain Institute of Tampa Bay Plc | 6918 Gunn Hwy, Suite C, Tampa, FL 33625-3853 |
| John David Goolsby | Chiropractic | Pain Institute of Tampa Bay Plc | 6918 Gunn Hwy, Suite C, Tampa, FL 33625-3853 |
| Michele D Pescasio | Sports Medicine | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| William S Blackshear | Anesthesiology | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Tiffani A Smith | Physical Therapy | Pain Institute of Tampa Bay Plc | 6918 Gunn Hwy, Suite C, Tampa, FL 33625-3853 |
| Timothy F Bain | Chiropractic | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Edgar Daniel Ramirez | Interventional Pain Management | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Heather Allred | Physical Therapy | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Kenneth Hammon | Chiropractic | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Maureen D Daly | Physical Therapy | Pain Institute of Tampa Bay Plc | 6918 Gunn Hwy, Suite C, Tampa, FL 33625-3853 |
| Street Address |
15303 AMBERLY DR SUITE A |
| City | TAMPA |
| State | FL |
| Zip | 33647-2308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lydia Phan | Nurse Practitioner | Advanced Care Gastroenterology Associates | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Michele D Pescasio | Sports Medicine | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| William S Blackshear | Anesthesiology | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Sobia Ali | Gastroenterology | Advanced Care Gastroenterology Associates | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Timothy F Bain | Chiropractic | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Edgar Daniel Ramirez | Interventional Pain Management | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Heather Allred | Physical Therapy | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Kenneth Hammon | Chiropractic | Pain Institute of Tampa Bay Plc | 15303 Amberly Dr, Suite A, Tampa, FL 33647-2308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaison Joseph Luke | Nurse Practitioner | Florida Specialty Medical Services LLC | 15423 Amberly Dr, Tampa, FL 33647 |
| Kristi D Lewis | Nurse Practitioner | Florida Specialty Medical Services LLC | 15423 Amberly Dr, Tampa, FL 33647 |
| Ted J Cardoso | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 6206 Emmons Ln, Tampa, FL 33647-1148 |
| Robert H Vanfleet | Diagnostic Radiology | Alvarado Radiology Group Inc A Professional Corporation | 7214 Wareham Dr, Tampa, FL 33647-1166 |
| Jordan M Axe | Chiropractic | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 | |
| Beth Bray | Nurse Practitioner | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 | |
| Janel Mayer | Nurse Practitioner | Root Cause Medical Clinic LLC | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 |
| Derek D Stewart Jr. | Chiropractic | Root Cause Clinic, Incorporated | 15049 Bruce B Downs Blvd, Tampa, FL 33647-1388 |
| Salma Z Pothiawala | Dermatology | Naples Center for Dermatology and Riverchase Dermatology | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-1644 |
| Kimberly B Siders | Physician Assistant | Naples Center for Dermatology and Riverchase Dermatology | 15310 Amberly Dr, Suite 150, Tampa, FL 33647-1644 |
| Find all physicians in zip 33647 | |||
| City | TAMPA |
| Zip Code | 33647 |
| Specialty | CHIROPRACTIC |
| City + Specialty | TAMPA + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.