Interventional Pain Institute of West Florida, Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

INTERVENTIONAL PAIN INSTITUTE OF WEST FLORIDA, INC

Practice address

7412 Community CT
Hudson, FL 34667-7101

Phone

(727) 861-1000

Fax

(727) 681-1010

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mark Hashim, MDNPI 1184654808

Title

MD/Owner

Phone

(727) 861-1000

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Mark Nadeem Hashim, M.D.

  • Interventional Pain Medicine Physician
  • Hudson, FL
  • NPI 1184654808
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1124058854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 COMMUNITY CT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677101",
            "telephone_number": "727-861-1000",
            "fax_number": "727-681-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7412 COMMUNITY CT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677101",
            "telephone_number": "727-861-1000",
            "fax_number": "727-681-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN INSTITUTE OF WEST FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "HASHIM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "727-861-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME74355",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME74355",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED VENDOR ID",
            "identifier": "101164",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051608200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ipatia Magnus
• Irene Kardashian M.D. , P.a.
• Alexander Jeffrey Irwin
• Leann Isaly, ARNP

• Pain Medicine (Anesthesiology) Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.