NPIMap

Organization Active NPI

Physician Providers Group PA

Doing business as Comprehensive Pain Management

  • Specialist
  • Ocala, FL
National Provider Identifier
1396200283
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PHYSICIAN PROVIDERS GROUP PA
Doing business as
Comprehensive Pain Management
Practice address
3120 SW 27TH Ave Ste 300
Ocala, FL 34471-8984
Phone
(352) 344-4791
Fax
(352) 344-3822
NPI assigned
Feb 5, 2019
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Robert Ulseth, MDNPI 1043205305
Title
Owner
Phone
(352) 553-4075

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
Specialist 174400000X NU Primary

Addresses

Primary practice location

3120 SW 27TH Ave Ste 300
Ocala, FL 34471-8984

Mailing address

PO Box 1925
Lady Lake, FL 32158-1925
Phone (352) 553-4075

Other identifiers 3

IdentifierTypeStateIssuer
K4662OtherFLFL MEDICARE
DA4473OtherFLRAILROAD MEDICARE #
34759OtherFLBLUE SHEILD PROV #

Other names 1

  • COMPREHENSIVE PAIN MANAGEMENT Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1396200283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1925",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321581925",
            "telephone_number": "352-553-4075",
            "fax_number": "888-770-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SW 27TH AVE STE 300",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718984",
            "telephone_number": "352-344-4791",
            "fax_number": "352-344-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PROVIDERS GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "ULSETH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-553-4075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "K4662",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "DA4473",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD PROV #",
            "identifier": "34759",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMPREHENSIVE PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.