NPIMap

Organization Active NPI

Medicine Man Pain Management Center

  • Pain Clinic/Center
  • Miami, FL
National Provider Identifier
1457591828
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
AP 1607 Issued in FL
Legal business name
MEDICINE MAN PAIN MANAGEMENT CENTER
Practice address
14471 S Dixie Hwy
Miami, FL 33176-7924
Phone
(786) 573-4777
Fax
(786) 573-4887
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Stanley Sezhi Yuan, A.P.
Title
Medical Director
Phone
(786) 573-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X AP 1607 FL Primary

Addresses

Primary practice location

14471 S Dixie Hwy
Miami, FL 33176-7924

Mailing address

14471 S Dixie Hwy
Miami, FL 33176-7924
Phone (786) 573-4777

Other identifiers 1

IdentifierTypeStateIssuer
AP 1607OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH MEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1457591828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14471 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767924",
            "telephone_number": "786-573-4777",
            "fax_number": "786-573-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14471 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767924",
            "telephone_number": "786-573-4777",
            "fax_number": "786-573-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE MAN PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "YUAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "SEZHI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-573-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "A.P."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "AP 1607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH MEDICAL LICENSE",
            "identifier": "AP 1607",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.