Active NPI
Pioneer Pain Management
- Pain Medicine (Anesthesiology) Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- PIONEER PAIN MANAGEMENT
- Practice address
- 266 NW Peacock Blvd Ste 205
Port St Lucie, FL 34986-2271 - Phone
- (772) 446-4883
- NPI assigned
- Aug 8, 2016
- Last updated
- Nov 3, 2017
- Organization subpart
- Yes
- Parent organization
- PIONEER PAIN MANAGEMENT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Antonio Poto Jr., D.O.
- Title
- Owner/ Authorized Official
- Phone
- (772) 446-4883
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | Primary | |
| Interventional Pain Medicine Physician | 208VP0014X | NU |
Addresses
Primary practice location
266 NW Peacock Blvd Ste 205
Port St Lucie, FL 34986-2271
Mailing address
266 NW Peacock Blvd Ste 205
Port St Lucie, FL 34986-2271
Phone (772) 446-4883
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2134321 | Pioneer Pain Management, Inc | Certificate of waiver | Jul 30, 2027 |
National Provider Directory
National Provider Directory- Part of
- Pioneer Pain Management
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Interventional Pain Medicine Physician
- Port St Lucie, FL
- NPI 1326429739
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Port St Lucie, FL
- NPI 1982875621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509667200000",
"number": "1437603404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 NW PEACOCK BLVD STE 205",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862271",
"telephone_number": "772-446-4883",
"fax_number": "772-446-4875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 NW PEACOCK BLVD STE 205",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862271",
"telephone_number": "772-446-4883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER PAIN MANAGEMENT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PIONEER PAIN MANAGEMENT",
"enumeration_date": "2016-08-08",
"last_updated": "2017-11-03",
"status": "A",
"authorized_official_last_name": "POTO",
"authorized_official_first_name": "ANTONIO",
"authorized_official_title_or_position": "OWNER/ AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "772-446-4883",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.