NPIMap

Organization Active NPI

Pain MGMT Corp

  • Health Service Clinic/Center
  • Pinellas Park, FL
National Provider Identifier
1386935179
Registry record updated Oct 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC8956 Issued in FL
Legal business name
PAIN MGMT CORP
Practice address
4921 71St Ave N
Pinellas Park, FL 33781-4428
Phone
(727) 548-1111
NPI assigned
Apr 27, 2011
Last updated
Oct 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2018

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

Authorized official

Name
Mrs. Linda TangNPI 1457642423
Title
Pres
Phone
(727) 548-1111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC8956 FL Primary

Addresses

Primary practice location

4921 71St Ave N
Pinellas Park, FL 33781-4428

Mailing address

4921 71St Ave N
Pinellas Park, FL 33781-4428
Phone (727) 548-1111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538870400000",
    "number": "1386935179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 71ST AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814428",
            "telephone_number": "727-548-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 71ST AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814428",
            "telephone_number": "727-548-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MGMT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2018-10-07",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "727-548-1111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC8956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2018; 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.