Opa-Locka Pain Management, Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME050431 Issued in FL

Legal business name

OPA-LOCKA PAIN MANAGEMENT, CORP

Practice address

1865 NE 163Rd St
North Miami Beach, FL 33162-4805

Phone

(305) 948-9958

Fax

(305) 948-9518

NPI assigned

Aug 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John G Padron, M.D.

Title

Director/Owner

Phone

(305) 948-9958

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OPA MEDICAL GROUP Doing business as

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1114159118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624805",
            "telephone_number": "305-948-9958",
            "fax_number": "305-948-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624805",
            "telephone_number": "305-948-9958",
            "fax_number": "305-948-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPA-LOCKA PAIN MANAGEMENT, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "305-948-9958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME050431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "08587",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPA MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaela Oneill, PA
• Justin George Ontivero, PHARMD
• Philomina Inwang Onuigbo, R.N.
• Stephanie C. Onuigbo, BCBA
• Opa Medical Center Corp
• Open Access Miami, LLC
• Open Arms Center, LLC
• Open MRI & Diagnostic Imaging, Inc.
• Oghenevwogaga Ophori, M.D.
• Optimalink Solutions LLC

• Specialist in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.