Interventional & Integrative Pain

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

ME62002 Issued in FL

Legal business name

INTERVENTIONAL & INTEGRATIVE PAIN

Practice address

8513 S US Highway 1
Ste 4
Port St Lucie, FL 34952-3346

Phone

(813) 496-1075

NPI assigned

Jul 18, 2010

Last updated

Jan 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley Panton, MD

Title

Owner

Phone

(813) 496-1075

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1279411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1043523152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8513 S US HIGHWAY 1",
            "address_2": "STE 4",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8513 S US HIGHWAY 1",
            "address_2": "STE 4",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523346",
            "telephone_number": "813-496-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL & INTEGRATIVE PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-18",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "PANTON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-496-1075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME62002",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME62002",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME62002",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME62002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspire at Saint Lucie LLC
• Inspire Healing Therapeutic Services LLC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Regional Laboratories Pathology Services, LLC
• Intentionally Well, LLC
• Interventional Rehabilitation of South Florida, Inc
• Interventional Rehabilitation of South Florida, Inc
• Interventional Rehabilitation of South Florida, Inc
• Ioannides and Sanders Dermatology Associates LLC (Treasure Coast Dermatology)
• Grace Antoinette Irving

• Pain Medicine Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.