Organization Active NPI

Art of Medicine Pain Specialists, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Naples, FL
National Provider Identifier
1194288100
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ART OF MEDICINE PAIN SPECIALISTS, LLC
Practice address
3555 Kraft Rd Ste 120
Naples, FL 34105-5037
Phone
(239) 424-9846
Fax
(239) 424-9932
NPI assigned
Apr 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Dr. Dewayne Lockhart Jr., MDNPI 1902057235
Title
Owner
Phone
(239) 424-9846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Addiction Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LA0401X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

3555 Kraft Rd Ste 120
Naples, FL 34105-5037

Mailing address

5012 Groveland Ter
Naples, FL 34119-8429
Phone (239) 424-9846

Other practice location 1

3400 Lee Blvd Suite 106
Lehigh Acres, FL 33971
Phone (239) 424-9846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190424001460 FL Part B Supplier - Clinic/Group Practice 9436491313 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

10070 Daniels Interstate Ct
Ste 150
Fort Myers, FL 33913
Phone (239) 424-9846

10070 Daniels Interstate Ct
Fort Myers, FL 33913

3555 Kraft Rd
Unit 120
Naples, FL 34105
Phone (239) 424-9846

5395 Park Central Ct
Naples, FL 34109
Phone (239) 424-9846

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1194288100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 GROVELAND TER",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198429",
            "telephone_number": "239-424-9846",
            "fax_number": "239-424-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 KRAFT RD STE 120",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055037",
            "telephone_number": "239-424-9846",
            "fax_number": "239-424-9932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Lee Blvd Suite 106",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "33971",
            "country_code": "US",
            "telephone_number": "239-424-9846",
            "fax_number": "239-424-9932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ART OF MEDICINE PAIN SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-424-9846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.