Organization Active NPI

Sar Pain Institute LLC

  • Pain Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1104104785
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
PMC 1621 Issued in FL
Legal business name
SAR PAIN INSTITUTE LLC
Practice address
2706 SE Santa Barbara PL
Cape Coral, FL 33904-2701
Phone
(239) 471-0721
Fax
(239) 471-0732
NPI assigned
Jul 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Stephen Mark Ross, M.D.,PHD.
Title
Medical Director
Phone
(239) 471-0721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X PMC 1621 FL Primary

Addresses

Primary practice location

2706 SE Santa Barbara PL
Cape Coral, FL 33904-2701

Mailing address

2706 SE Santa Barbara PL
Cape Coral, FL 33904-2701
Phone (239) 471-0721

Other identifiers 2

IdentifierTypeStateIssuer
FK751AOtherFLMEDICARE PTAN
PMC1621OtherFLPAIN CLINIC

Other names 1

  • SAR MEDICAL INSTITUTE OF CAPE CORAL Doing business as

National Provider Directory

National Provider Directory

Locations

2706 SE Santa Barbara Pl
Cape Coral, FL 33904
Phone (239) 471-0721

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1104104785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 SE SANTA BARBARA PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339042701",
            "telephone_number": "239-471-0721",
            "fax_number": "239-471-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 SE SANTA BARBARA PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339042701",
            "telephone_number": "239-471-0721",
            "fax_number": "239-471-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAR PAIN INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-471-0721",
        "authorized_official_credential": "M.D.,PHD."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "PMC 1621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FK751A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIN CLINIC",
            "identifier": "PMC1621",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAR MEDICAL INSTITUTE OF CAPE CORAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.