St Petersburg Pain & Urgent Care

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

HCC8297 Issued in FL

Legal business name

ST PETERSBURG PAIN & URGENT CARE

Practice address

4900 33Rd Ave N
St Petersburg, FL 33710-2102

Phone

(727) 526-8300

Fax

(727) 526-8804

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David M Carpenter

Title

President

Phone

(727) 526-8300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1386953404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 33RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102102",
            "telephone_number": "727-526-8300",
            "fax_number": "727-526-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 33RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102102",
            "telephone_number": "727-526-8300",
            "fax_number": "727-526-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETERSBURG PAIN & URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-526-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "HCC8297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Petersburg Kidney Care South LLC
• St Petersburg Limb and Brace, Inc.
• St Petersburg Maternal Fetal Medicine Associates
• St Petersburg Medical Center LLC
• St Petersburg Nursing and Rehab Opco LLC
• St Petersburg Psychotherapy, LLC
• St Petersburg Skin and Laser Center LLC
• St Petersburg SNF Operations LLC
• St Petersburg Surgery Center LTD
• St Petersburg Uscg Phcy

• Pain Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pain Medicine Physician in Florida

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