Jane Bistline MD Interventional Pain, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME64772 Issued in FL

Legal business name

JANE BISTLINE MD INTERVENTIONAL PAIN, LLC

Practice address

2031 Palm Beach Lakes Blvd
Suite 100
West Palm Beach, FL 33409-6501

Phone

(561) 681-9808

Fax

(561) 681-9989

NPI assigned

Nov 2, 2011

Organization subpart

No

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

Authorized official

Name

Jane E Bistline, M.D.NPI 1447355789

Title

President

Phone

(561) 681-9808

Specialties & licenses 1

Addresses

Other names 1

• Intervential Pain Services of Palm Beach Doing business as

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.

• Jane Bistline, MD

  • Interventional Pain Medicine Physician
  • West Palm Beach, FL
  • NPI 1447355789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1194001289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096501",
            "telephone_number": "561-681-9808",
            "fax_number": "561-681-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096501",
            "telephone_number": "561-681-9808",
            "fax_number": "561-681-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE BISTLINE MD INTERVENTIONAL PAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "BISTLINE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-681-9808",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME64772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intervential Pain Services of Palm Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patience Ann James, D.O.
• Melissa Jamieson
• Decoursey Jamison
• Sharniece Jamison
• Jane Bistline MD Anesthesia Services, LLC
• Jane E Bistline MD PA
• Nicholas R Janes
• Janet Hibel PH.D PA
• Oleixis B Jang Rosales
• Jangleys LLC

• Interventional Pain Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.