Veritas Interventional Pain & Spine Institute, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

2012028529 Issued in MO

Legal business name

VERITAS INTERVENTIONAL PAIN & SPINE INSTITUTE, LLC

Practice address

2209 North Blvd W Ste a
Davenport, FL 33837-8903

Phone

(863) 679-8000

Fax

(863) 679-8008

NPI assigned

Jul 24, 2017

Last updated

Sep 20, 2017By 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. Narendren Narayanasamy, MD

Title

MD

Phone

(863) 679-8000

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1295258051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13242 FOX GLOVE ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874717",
            "telephone_number": "888-488-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 NORTH BLVD W STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378903",
            "telephone_number": "863-679-8000",
            "fax_number": "863-679-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERITAS INTERVENTIONAL PAIN & SPINE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "NARAYANASAMY",
        "authorized_official_first_name": "NARENDREN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "863-679-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2012028529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14Z0T",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031919600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.