Jacksonville Pain Center PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME95262 Issued in FL

Legal business name

JACKSONVILLE PAIN CENTER PA

Practice address

9421 Waypoint PL
Jacksonville, FL 32257-9229

Phone

(904) 268-8200

Fax

(904) 268-8298

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hemant Shah, M.D.NPI 1154326973

Title

President/ Owner

Phone

(904) 268-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Hemant N Shah, M.D.

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1154326973
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1114114303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600290",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322600290",
            "telephone_number": "904-268-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9421 WAYPOINT PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579229",
            "telephone_number": "904-268-8200",
            "fax_number": "904-268-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE PAIN CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HEMANT",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "904-268-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME95262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Orthopaedic Institute Inc
• Jacksonville Orthopaedic Institute Inc
• Jacksonville Orthopaedic Institute Inc
• Jacksonville Otolaryngology & Facial Plastic Surgery
• Jacksonville Pain and Injury Center, Inc
• Jacksonville Pathology Consultants PA
• Jacksonville Pediatric and Adult Congenital Cardiology
• Jacksonville Pediatric Associates, M.D., P.a.
• Jacksonville Pediatric Endocrinology Clinic PLLC
• Jacksonville Pediatric Speech, LLC

• Interventional Pain Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.