Keti Medical Center & Pain Management Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

KETI MEDICAL CENTER & PAIN MANAGEMENT INC

Practice address

7105 Mariner Blvd
Spring Hill, FL 34609-1048

Phone

(352) 596-1339

Fax

(352) 596-8772

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Shyam S Swain, MDNPI 1851433379

Title

President

Phone

(352) 596-1339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Shyam Sundar Swain, MD

  • Interventional Pain Medicine Physician
  • Spring Hill, FL
  • NPI 1851433379
  Medicare reassignment NPD Authorized official
• Keira Randall, NP

  • Adult Health Nurse Practitioner
  • St Petersburg, FL
  • NPI 1003658428
  NPD

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1205979291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091048",
            "telephone_number": "352-596-1339",
            "fax_number": "352-596-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091048",
            "telephone_number": "352-596-1339",
            "fax_number": "352-596-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETI MEDICAL CENTER & PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-596-1339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kernaghan and Moore: Speech and Language Therapy Services, Inc.
• Jennifer Kerouac
• Amanda Lynn Kerr
• Brian L. Kersey, P.A.
• Alicia Hagenau Ketchum, ARNP-C
• Kemisha L Key, M.D.
• Ahmed Hussain Khan, MD
• Amena Khan, NP
• Ariel Khy, RBT
• Lyndsey Kidd

• Interventional Pain Medicine Physician in Spring Hill, FL
• Providers in Spring Hill, 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 Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.