Omni Clearwater, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

OMNI CLEARWATER, LLC

Doing business as

Omni Spine & Joint - Clearwater

Practice address

1811 N Belcher Rd Ste H2
Clearwater, FL 33765-1433

Phone

(727) 724-6373

Fax

(727) 724-6377

NPI assigned

Jan 31, 2022

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

OMNI CONCEPTS, LLCAs reported in NPPES

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

Authorized official

Name

Sidharth Panchamia, MDNPI 1275735276

Title

Owner/Manager

Phone

(917) 202-9026

Specialties & licenses 1

Addresses

Other names 1

• Omni Spine & Joint - Clearwater Doing business as

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.

• Sidharth Panchamia, MD

  • Interventional Pain Medicine Physician
  • Riverview, FL
  • NPI 1275735276
  NPD Authorized official
• Chelsea Noelle Mira Timonera, PA-C

  • Medical Physician Assistant
  • Riverview, FL
  • NPI 1477315976
  NPD
• Dustin Alan Reed, PHARM.D., PA-C

  • Physician Assistant
  • Edmonds, WA
  • NPI 1437466604

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1396498309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 S FALKENBURG RD STE 205",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335782594",
            "telephone_number": "813-565-8978",
            "fax_number": "813-533-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 N BELCHER RD STE H2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651433",
            "telephone_number": "727-724-6373",
            "fax_number": "727-724-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI CLEARWATER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNI CONCEPTS, LLC",
        "enumeration_date": "2022-01-31",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "PANCHAMIA",
        "authorized_official_first_name": "SIDHARTH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "917-202-9026",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Spine & Joint - Clearwater",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omni Spine & Joint - Clearwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sue Olsen
• Christian William Olson
• Lydia Olson, LCSW
• Olalekan Peter Olufemi, M.D.
• Samantha C Omelian, PH.D.
• Oncology Physicians PA
• One Medical
• Michael L Oneal, DO
• Luanis Sarahi Oneill, DC
• Kristina Opatovsky, CASE MANAGER

• Interventional Pain Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.