Pain Management Center of Naples LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

ME 056744 Issued in FL

Legal business name

PAIN MANAGEMENT CENTER OF NAPLES LLC

Practice address

4760 Tamiami TRL N Ste 27
Naples, FL 34103-3057

Phone

(239) 593-9599

Fax

(239) 593-4099

NPI assigned

Aug 20, 2006

Last updated

Jun 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Prathima Moorthy, MDNPI 1164537973

Title

President

Phone

(239) 593-9599

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Prathima Moorthy, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Naples, FL
  • NPI 1164537973
  Medicare reassignment Care Compare group NPD Authorized official
• Yvonne Angela Whittle-Brown, ARNP

  • Nurse Practitioner
  • Fort Myers, FL
  • NPI 1497052302
  Medicare reassignment Care Compare group NPD
• Debra Lee Taylor, ARNP

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1568960581
  Medicare reassignment NPD
• Jennifer Rebecca Wangler, PA-C

  • Medical Physician Assistant
  • Naples, FL
  • NPI 1750573838
  Medicare reassignment

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1477668291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 TAMIAMI TRAIL N",
            "address_2": "STE 27",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033057",
            "telephone_number": "239-593-9599",
            "fax_number": "239-593-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 TAMIAMI TRL N STE 27",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033057",
            "telephone_number": "239-593-9599",
            "fax_number": "239-593-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CENTER OF NAPLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "MOORTHY",
        "authorized_official_first_name": "PRATHIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-593-9599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME 056744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Page Quattlebaum & Associates LLC (Page Family Dental Group)
• Christopher Stephen Page, D. M.D.
• Stephen B. Page, D.M.D.
• Edsel Pagkanlungan
• Ma Noemi Pagkanlungan
• Pain Relief Center, P.a
• Gregory F Paine, MD
• Carlos Manuel Paisan, MD
• Mathai Palamattathil
• Madhura Palande

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Naples, FL
• Providers in Naples, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.