NPIMap

Organization Active NPI

Clearwater Pain Management Associates

  • Pain Clinic/Center
  • Clearwater, FL
National Provider Identifier
1477585883
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
CLEARWATER PAIN MANAGEMENT ASSOCIATES
Practice address
430 Morton Plant St
Suite 210
Clearwater, FL 33756-3398
Phone
(727) 446-4506
Fax
(727) 446-4695
NPI assigned
Jul 7, 2006
Last updated
May 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Edward Chen, MDNPI 1184642902
Title
Physician
Phone
(727) 446-4506

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 Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

430 Morton Plant St
Suite 210
Clearwater, FL 33756-3398

Mailing address

300 Jeffords St
Suite B
Clearwater, FL 33756-3810
Phone (727) 441-1524

Other identifiers 1

IdentifierTypeStateIssuer
257510800MedicaidFL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1901 Ulmerton Rd
Ste 450
Clearwater, FL 33762
Phone (727) 210-8104

300 Jeffords St
Clearwater, FL 33756
Phone (727) 462-7009

300 Jeffords St
Ste C
Clearwater, FL 33756
Phone (727) 446-4506

420 Jeffords St
Clearwater, FL 33756
Phone (727) 442-3454

1880 Mease Dr
Safety Harbor, FL 34695
Phone (727) 725-6410

Practitioners & affiliated clinicians

Practitioners 274

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 274

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1477585883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JEFFORDS ST",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563810",
            "telephone_number": "727-441-1524",
            "fax_number": "727-443-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST",
            "address_2": "SUITE 210",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563398",
            "telephone_number": "727-446-4506",
            "fax_number": "727-446-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER PAIN MANAGEMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-446-4506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257510800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.