Opa-Locka Pain Management, Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME050431 Issued in FL

Legal business name

OPA-LOCKA PAIN MANAGEMENT, CORP

Doing business as

Opa Medical Group

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

Last updated

Mar 30, 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

Dr. John G Padron, M.D.NPI 1205867520

Title

Director/Owner

Phone

(305) 948-9958

Specialties & licenses 1

Addresses

Other names 1

• OPA MEDICAL GROUP Doing business as

Practitioners 1

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.

• John G. Padron, M.D.

  • Specialist
  • North Miami Beach, FL
  • NPI 1205867520
  Authorized official Same address or phone

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": [],
    "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 (OPA Medical Center)
• 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.