Organization Active NPI

Jupiter Pain Management Consultants

  • Pain Medicine (Anesthesiology) Physician
  • Jupiter, FL
National Provider Identifier
1295002863
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME72880 Issued in FL
Legal business name
JUPITER PAIN MANAGEMENT CONSULTANTS
Practice address
2151 S Alternate A1A
Suite 950
Jupiter, FL 33477-4112
Phone
(561) 743-2239
NPI assigned
Nov 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Authorized official

Name
Dr. Nathaniel Drourr
Title
President
Phone
(561) 262-5137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X ME72880 FL Primary

Addresses

Primary practice location

2151 S Alternate A1A
Suite 950
Jupiter, FL 33477-4112

Mailing address

75 River Dr
Tequesta, FL 33469-1950

Other identifiers 2

IdentifierTypeStateIssuer
047364200MedicaidFL
253301400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322179200000",
    "number": "1295002863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 RIVER DR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334691950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S ALTERNATE A1A",
            "address_2": "SUITE 950",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774112",
            "telephone_number": "561-743-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER PAIN MANAGEMENT CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-25",
        "last_updated": "2011-11-25",
        "status": "A",
        "authorized_official_last_name": "DROURR",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-262-5137",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME72880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047364200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253301400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.