NPIMap

Organization Active NPI

Pain and Supportive Care, PA

  • Interventional Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1023467974
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN AND SUPPORTIVE CARE, PA
Practice address
6612 Thornton Palms Dr
Tampa, FL 33647-5104
Phone
(813) 399-2128
Fax
(727) 245-8661
NPI assigned
Jun 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Dr. Jose E Sarria, MDNPI 1447266093
Title
President
Phone
(813) 399-2128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

6612 Thornton Palms Dr
Tampa, FL 33647-5104

Mailing address

6612 Thornton Palms Dr
Tampa, FL 33647-5104
Phone (813) 399-2128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170626000517 FL Part B Supplier - Clinic/Group Practice 5991083651 Receives reassigned benefits from 7 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

13801 Bruce B Downs Blvd
Ste 406
Tampa, FL 33613
Phone (813) 345-2380

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1023467974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 THORNTON PALMS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336475104",
            "telephone_number": "813-399-2128",
            "fax_number": "727-245-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 THORNTON PALMS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336475104",
            "telephone_number": "813-399-2128",
            "fax_number": "727-245-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND SUPPORTIVE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "SARRIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-399-2128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.