The Pain Institute

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

THE PAIN INSTITUTE

Practice address

595 N Courtenay Pkwy
Merritt Island, FL 32953-4851

Phone

(321) 784-8211

Fax

(321) 394-9425

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Richard Gayles, M.D.

Title

Partner

Phone

(321) 784-8211

Specialties & licenses 1

Addresses

Other names 1

• Space Coast Pain Institute, Inc. Doing business as

Tax ID family

Florida Pain2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Pain Institute Inc

  • Interventional Pain Medicine Physician
  • Melbourne, FL
  • NPI 1063858447
  NPD tax ID

Locations

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1295052884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562707",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329562707",
            "telephone_number": "321-784-8211",
            "fax_number": "321-394-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534851",
            "telephone_number": "321-784-8211",
            "fax_number": "321-394-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "GAYLES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "321-784-8211",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Space Coast Pain Institute, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Clinic at Walmart Operated by Wuesthoff Health System, LLC
• The Communication Nest, PLLC
• The Door Christian Counseling, LLC
• The Health Center of Merritt Island Inc
• The Heart of Acupuncture Inc
• The Pain Institute Inc
• The Palms of Florida Afch, LLC
• The Pharmacy LLC
• The Place at Merritt Island
• Michelle Lee Thibeault

• Non-Pharmacy Dispensing Site in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.