Active NPI
Damon T Vu, M.D.
- Interventional Pain Medicine Physician
- Trinity, FL
National Provider Identifier
1255455044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME98246
- Practice address
- 8146 Cerebellum Way
Suite 102
Trinity, FL 34655-1784 - Phone
- (727) 264-8865
- Fax
- (727) 608-4479
- NPI assigned
- Mar 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ME98246 | FL | Primary |
Addresses
Primary practice location
8146 Cerebellum Way
Suite 102
Trinity, FL 34655-1784
Mailing address
8146 Cerebellum Way
Suite 102
Trinity, FL 34655-1784
Phone (727) 264-8865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Pain Consultants PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJDADD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Anesthesiology) Physician
- Grand Rapids, MI
- NPI 1467418574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1255455044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8146 CEREBELLUM WAY",
"address_2": "SUITE 102",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551784",
"telephone_number": "727-264-8865",
"fax_number": "727-608-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8146 CEREBELLUM WAY",
"address_2": "SUITE 102",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551784",
"telephone_number": "727-264-8865",
"fax_number": "727-608-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "DAMON",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-18",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME98246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.