NPIMap

Organization Active NPI

University Pain Management Center, PA

  • Non-Pharmacy Dispensing Site
  • Tampa, FL
National Provider Identifier
1477801777
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
UNIVERSITY PAIN MANAGEMENT CENTER, PA
Practice address
11707 Club Dr
Tampa, FL 33612-5521
Phone
(813) 977-2222
Fax
(813) 977-4222
NPI assigned
Aug 17, 2012
Organization subpart
Yes
Parent organization
UNIVERSITY PAIN MANAGEMENT CENTER, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Dr. Shaukat H. Chowdhari, MDNPI 1336123553
Title
Medical Director
Phone
(813) 977-2222

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
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

11707 Club Dr
Tampa, FL 33612-5521

Mailing address

11707 Club Dr
Tampa, FL 33612-5521
Phone (813) 977-2222

National Provider Directory

National Provider Directory
Tax ID family
University Pain Management Center Inc2 organizations share this tax ID, including this one
Part of
University Pain Management Center Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1477801777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 CLUB DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125521",
            "telephone_number": "813-977-2222",
            "fax_number": "813-977-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 CLUB DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125521",
            "telephone_number": "813-977-2222",
            "fax_number": "813-977-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PAIN MANAGEMENT CENTER, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY PAIN MANAGEMENT CENTER, PA",
        "enumeration_date": "2012-08-17",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "CHOWDHARI",
        "authorized_official_first_name": "SHAUKAT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-977-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.