Advanced Care Pain Management Center, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME47071 Issued in FL

Legal business name

ADVANCED CARE PAIN MANAGEMENT CENTER, INC.

Practice address

2339 S US Highway 1
Fort Pierce, FL 34982-5920

Phone

(772) 461-1008

Fax

(772) 461-0041

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Darshan Shah, M.D.NPI 1629171988

Title

Owner

Phone

(772) 461-1008

Specialties & licenses 1

Addresses

Practitioners 1

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

• Darshan N Shah, MD

  • Family Medicine Physician
  • Fort Pierce, FL
  • NPI 1629171988
  NPD Authorized official

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1184854960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825920",
            "telephone_number": "772-461-1008",
            "fax_number": "772-461-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825920",
            "telephone_number": "772-461-1008",
            "fax_number": "772-461-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE PAIN MANAGEMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DARSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-461-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME47071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy H Adderley
• Steven M Adler, M.D.
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• Michael Adu-Tutu, DDS
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• Advanced Physical Therapy & Rehab, Inc.

• Specialist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.