NPIMap

Organization Active NPI

Elite Pain Specialists PA

  • Pain Medicine (Anesthesiology) Physician
  • Lutz, FL
National Provider Identifier
1396460622
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ELITE PAIN SPECIALISTS PA
Practice address
17807 Hunting Bow Cir Ste 101
Lutz, FL 33558-5402
Phone
(813) 388-9922
Fax
(813) 406-4691
NPI assigned
Oct 10, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Dr. Anthony Isenalumhe Jr., MDNPI 1063658995
Title
Owner
Phone
(352) 515-0025

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
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

17807 Hunting Bow Cir Ste 101
Lutz, FL 33558-5402

Mailing address

PO Box 20494
Tampa, FL 33622-0494
Phone (727) 823-2188

National Provider Directory

National Provider Directory
Tax ID family
Elite Pain Specialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17807 Hunting Bow Cir
Ste 101
Lutz, FL 33558
Phone (813) 388-9922

13141 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 515-0025

Practitioners & affiliated clinicians

Practitioners 3

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": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1396460622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20494",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220494",
            "telephone_number": "727-823-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17807 HUNTING BOW CIR STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585402",
            "telephone_number": "813-388-9922",
            "fax_number": "813-406-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PAIN SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "ISENALUMHE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-515-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.