Pain Center of Central FL PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME0055539 Issued in FL

Legal business name

PAIN CENTER OF CENTRAL FL PA

Practice address

3861 Oakwater Cir Ste 2
Orlando, FL 32806-6258

Phone

(407) 649-7800

Fax

(407) 649-9881

NPI assigned

Aug 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eugene Avery Melvin Jr., MDNPI 1053429019

Title

President

Phone

(407) 649-7800

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugene Avery Melvin Jr., MD

  • Pain Medicine (Anesthesiology) Physician
  • Orlando, FL
  • NPI 1053429019
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1013025162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 OAKWATER CIR STE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066258",
            "telephone_number": "407-649-7800",
            "fax_number": "407-649-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 OAKWATER CIR STE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066258",
            "telephone_number": "407-649-7800",
            "fax_number": "407-649-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTER OF CENTRAL FL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-649-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME0055539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "1669423001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "208633",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "1669423007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Kay Pagels Damkjer, ARNP
• Kara Maria Paglione, APRN
• Grace Pagtakhan, NP-C
• Ruth A Paiano, ARNP
• Catherine Lois Paige
• Pain Center of Orlando
• Pain Management Center of West Orange
• Pain Management of Central Florida, LLC
• Pain Physicians of Central Florida PA
• Pain Physicians of Central Florida, P.a.

• Pain Medicine (Anesthesiology) Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.