Pearl Medical Pain Centers, LLC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

CH3794 Issued in FL

Legal business name

PEARL MEDICAL PAIN CENTERS, LLC

Practice address

155 Jackson Ave
Satellite Beach, FL 32937-2993

Phone

(321) 773-2663

NPI assigned

Mar 7, 2010

Last updated

Mar 7, 2010By 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

Michael Ville, DCNPI 1497883227

Title

President

Phone

(321) 773-2663

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael David Ville, DC

  • Orthopedic Chiropractor
  • Satellite Beach, FL
  • NPI 1497883227
  NPD (past) Authorized official
• Sophie Marie Ville Pitten, DC

  • Chiropractor
  • Satellite Beach, FL
  • NPI 1154028132
  NPD (past)

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

{
    "created_epoch": "1267920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267920000000",
    "number": "1093038937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 JACKSON AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372993",
            "telephone_number": "321-773-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 JACKSON AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372993",
            "telephone_number": "321-773-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL MEDICAL PAIN CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-07",
        "last_updated": "2010-03-07",
        "status": "A",
        "authorized_official_last_name": "VILLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-773-2663",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH3794",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME36928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen M Olcsvay, L.C.S.W.
• Catherine Oxley, LCSW
• Lisa Carol Parenti, DC
• Patricia Lebron, Arnp
• Pcah Gushue LLC
• Shannon Peeples, APRN
• Paula Gaskin Perez, RPH
• Jennifer Petsche
• Jillian Rose Pfister, MPH, IBCLC
• Jaime Phillips

• Orthopedic Chiropractor in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Orthopedic Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2010; 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.