Organization Active NPI

West Florida Pain Management PA

  • Interventional Pain Medicine Physician
  • Clearwater, FL
National Provider Identifier
1508938861
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME 52154 Issued in FL
Legal business name
WEST FLORIDA PAIN MANAGEMENT PA
Practice address
1831 N Belcher Rd
Suite a-2
Clearwater, FL 33765-1449
Phone
(727) 553-7313
Fax
(727) 553-7320
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gerald E. Trimble, M.D.
Title
President
Phone
(727) 553-7330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X ME 52154 FL Primary

Addresses

Primary practice location

1831 N Belcher Rd
Suite a-2
Clearwater, FL 33765-1449

Mailing address

603 7TH St S
Suite 340
St Petersburg, FL 33701-4719
Phone (727) 553-7313

National Provider Directory

National Provider Directory
Tax ID family
W Fla Pain Management PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508938861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 7TH ST S",
            "address_2": "SUITE 340",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014719",
            "telephone_number": "727-553-7313",
            "fax_number": "727-553-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD",
            "address_2": "SUITE A-2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651449",
            "telephone_number": "727-553-7313",
            "fax_number": "727-553-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA PAIN MANAGEMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-553-7330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME 52154",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.