Interventional Pain Management of the Treasure Coast PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

OS0007702 Issued in FL

Legal business name

INTERVENTIONAL PAIN MANAGEMENT OF THE TREASURE COAST PA

Practice address

3745 11TH Circle
Suite 107
Vero Beach, FL 32960

Phone

(772) 778-2444

Fax

(772) 778-8299

NPI assigned

Jun 29, 2006

Last updated

Sep 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Zimmerman, D.O.NPI 1689623746

Title

Physician

Phone

(772) 778-2444

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, and the practitioner matching its NPPES authorized official.

• Mark D Zimmerman, DO

  • Pain Medicine (Anesthesiology) Physician
  • Vero Beach, FL
  • NPI 1689623746
  NPD (past) Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1205864121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 11TH CIRCLE",
            "address_2": "SUITE 107",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-778-2444",
            "fax_number": "772-778-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 11TH CIRCLE",
            "address_2": "SUITE 107",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-778-2444",
            "fax_number": "772-778-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MANAGEMENT OF THE TREASURE COAST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "772-778-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS0007702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Vero Beach, FL
• Providers in Vero 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 Sep 15, 2009; 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.