University Pain Associates, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

OS11865 Issued in FL

Legal business name

UNIVERSITY PAIN ASSOCIATES, LLC

Practice address

431 Southwest Blvd N
St Petersburg, FL 33703-1399

Phone

(727) 822-3500

Fax

(727) 822-3228

NPI assigned

Oct 15, 2013

Organization subpart

No

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

Authorized official

Name

Gregory N. Kozlov, D.O.

Title

President & Managing Member

Phone

(727) 822-3500

Specialties & licenses 2

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBIHBA

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1306274048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 37TH AVE N",
            "address_2": "#125",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041416",
            "telephone_number": "727-822-3500",
            "fax_number": "727-822-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SOUTHWEST BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031399",
            "telephone_number": "727-822-3500",
            "fax_number": "727-822-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PAIN ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "KOZLOV",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT & MANAGING MEMBER",
        "authorized_official_telephone_number": "727-822-3500",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS11865",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS11865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in St Petersburg, FL
• Providers in St Petersburg, 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 Oct 15, 2013; 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.