Organization Active NPI

Tampa Pain Management LLC

  • Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1184051708
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
HCC9537 Issued in FL
Legal business name
TAMPA PAIN MANAGEMENT LLC
Practice address
4910 N Armenia Ave
Tampa, FL 33603-1402
Phone
(813) 932-7246
Fax
(813) 932-7264
NPI assigned
Sep 27, 2013
Last updated
Feb 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Authorized official

Name
Kathleen Vaes
Title
Owner
Phone
(813) 205-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X HCC9537 FL Primary

Addresses

Primary practice location

4910 N Armenia Ave
Tampa, FL 33603-1402

Mailing address

18886 Pampass Grass LN
Lutz, FL 33558-7300
Phone (813) 205-4550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1184051708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18886 PAMPASS GRASS LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335587300",
            "telephone_number": "813-205-4550",
            "fax_number": "813-932-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031402",
            "telephone_number": "813-932-7246",
            "fax_number": "813-932-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "VAES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-205-4550"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "HCC9537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.