Comprehensive Pain of the Palm Beaches PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME0076064 Issued in FL

Legal business name

COMPREHENSIVE PAIN OF THE PALM BEACHES PLLC

Practice address

4897 S Jog Rd
Suite B
Greenacres, FL 33467-5000

Phone

(561) 434-7577

Fax

(561) 434-3440

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Bart G Gatz, M.D.NPI 1801819206

Title

Medical Director

Phone

(561) 434-7577

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• American International Physicians Institute of Florida Doing business as
• Comprehensive Pain Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Bart Gerard Gatz, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Greenacres, FL
  • NPI 1801819206
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Edmond Lentz, M.D.

  • Anesthesiology Physician
  • Greenacres, FL
  • NPI 1720001225
  Medicare reassignment Care Compare group NPD
• Melissa Deeann Martz, APRN

  • Family Nurse Practitioner
  • Greenacres, FL
  • NPI 1558724393
  Medicare reassignment NPD
• Denise Osie, APRN, FNP-C

  • Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1841894615
  NPD
• Whitney A Ruddock, PHARMD

  • Pharmacist
  • Port St Lucie, FL
  • NPI 1053752600
  NPD

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1205214947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 S JOG RD",
            "address_2": "SUITE B",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334675000",
            "telephone_number": "561-434-7577",
            "fax_number": "561-434-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 S JOG RD",
            "address_2": "SUITE B",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334675000",
            "telephone_number": "561-434-7577",
            "fax_number": "561-434-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1936 SE Port St Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349525509",
            "country_code": "US",
            "telephone_number": "561-434-7577",
            "fax_number": "561-434-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN OF THE PALM BEACHES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "GATZ",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-434-7577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME0076064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL799A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American International Physicians Institute of Florida",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Pain Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Pain Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Interventional Pain Medicine Physician in Greenacres, FL
• Providers in Greenacres, 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 Sep 26, 2024; 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.