Organization Active NPI

American Pain Associates LLC

  • Interventional Pain Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1053621789
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS7123 Issued in FL
Legal business name
AMERICAN PAIN ASSOCIATES LLC
Practice address
8801 College Parkway
Suite 2
Ft Myers, FL 33919-4882
Phone
(239) 482-8239
NPI assigned
Oct 15, 2010
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. George S Petryk, DC
Title
MBR
Phone
(239) 482-8239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X OS7123 FL Primary

Addresses

Primary practice location

8801 College Parkway
Suite 2
Ft Myers, FL 33919-4882

Mailing address

15880 Summerlin Rd Ste 300
PMB 106
Fort Myers, FL 33908-9613
Phone (239) 482-8239

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1053621789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15880 SUMMERLIN RD STE 300",
            "address_2": "PMB 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089613",
            "telephone_number": "239-482-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 COLLEGE PARKWAY",
            "address_2": "SUITE 2",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339194882",
            "telephone_number": "239-482-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PAIN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "PETRYK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "239-482-8239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS7123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.