Pan American Pain Institute PL

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME79046 Issued in FL

Legal business name

PAN AMERICAN PAIN INSTITUTE PL

Practice address

16542 N Dale Mabry Hwy
Tampa, FL 33618-1325

Phone

(813) 908-7868

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dario Aquiles Grisales, MDNPI 1407839806

Title

Owner Provider

Phone

(813) 908-7868

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Dario Aquiles Grisales, M.D.

  • Interventional Pain Medicine Physician
  • Tampa, FL
  • NPI 1407839806
  Medicare reassignment NPD Authorized official
• Alexander Diasalvador Sanchez Arbolaez, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1104395409
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1023195658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20286",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220286",
            "telephone_number": "727-823-2188",
            "fax_number": "727-823-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181325",
            "telephone_number": "813-908-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN AMERICAN PAIN INSTITUTE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "GRISALES",
        "authorized_official_first_name": "DARIO",
        "authorized_official_middle_name": "AQUILES",
        "authorized_official_title_or_position": "OWNER  PROVIDER",
        "authorized_official_telephone_number": "813-908-7868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME79046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD7254",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Paluzzi, M.D.
• Arnulfo Pineda Paman, PT, DPT
• Maria Teresa Zulueta Paman, OTR/L
• Pamela B. Baines, MD, PA
• Gina Pamplona
• Adrianne Pan, MD
• Richa Panara
• Ruchi Panara
• Victoria Panarese, DO
• Deborah Panariello, LMHC

• Interventional Pain Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.