Organization Active NPI

Comprehensive Pain Management Partners LLP

  • Interventional Pain Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1295771731
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
COMPREHENSIVE PAIN MANAGEMENT PARTNERS LLP
Practice address
4807 US Highway 19 Ste 102
New Port Richey, FL 34652-4260
Phone
(727) 846-7618
Fax
(727) 849-7090
NPI assigned
Jun 22, 2006
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Eric R Haynes, MDNPI 1982671954
Title
Owner
Phone
(727) 846-7618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

4807 US Highway 19 Ste 102
New Port Richey, FL 34652-4260

Mailing address

4807 US Highway 19 Ste 102
New Port Richey, FL 34652-4260
Phone (727) 846-7618

Other practice location 1

11361 Countryway Blvd
Tampa, FL 33626-2610
Phone (813) 262-1117

Other practice location 2

871 Venetia Bay Blvd Ste 350
Venice, FL 34285-8051
Phone (941) 488-5366

Other practice location 3

14028 5th St
Dade City, FL 33525-4311
Phone (352) 567-2700

Other identifiers 1

IdentifierTypeStateIssuer
116065000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060210000004 FL Part B Supplier - Clinic/Group Practice 4981619053 Receives reassigned benefits from 3 practitioners
Practice locations: New Port Richey, FL; Dade City, FL; Venice, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

3890 Tampa Rd
Ste 305
Palm Harbor, FL 34684
Phone (727) 781-3160

11361 Countryway Blvd
Tampa, FL 33626
Phone (813) 262-1117

2605 W Swann Ave
Ste 100
Tampa, FL 33609
Phone (813) 708-8346

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1295771731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 US HIGHWAY 19 STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524260",
            "telephone_number": "727-846-7618",
            "fax_number": "727-849-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 US HIGHWAY 19 STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524260",
            "telephone_number": "727-846-7618",
            "fax_number": "727-849-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11361 Countryway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336262610",
            "country_code": "US",
            "telephone_number": "813-262-1117",
            "fax_number": "813-262-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "871 Venetia Bay Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342858051",
            "country_code": "US",
            "telephone_number": "941-488-5366",
            "fax_number": "941-488-2167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14028 5th St",
            "address_purpose": "LOCATION",
            "city": "Dade City",
            "state": "FL",
            "postal_code": "335254311",
            "country_code": "US",
            "telephone_number": "352-567-2700",
            "fax_number": "352-567-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN MANAGEMENT PARTNERS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-846-7618",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116065000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.