Active NPI
Dr.Badawy Pain & Spine Center, LLC
- Pain Clinic/Center
- Orlando, FL
National Provider Identifier
1518308170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- ME 110154
- Legal business name
- DR.BADAWY PAIN & SPINE CENTER, LLC
- Practice address
- 4351 Hunters Park LN
Orlando, FL 32837-7614 - Phone
- (407) 574-3129
- Fax
- (407) 985-4702
- NPI assigned
- Jul 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amr H. Badawy
- Title
- Owner
- Phone
- (407) 985-4700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | ME 110154 | FL | Primary |
Addresses
Primary practice location
4351 Hunters Park LN
Orlando, FL 32837-7614
Mailing address
4351 Hunters Park LN
Orlando, FL 32837-7614
Phone (407) 985-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015074100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
7364 Stonerock Cir
#A
Orlando, FL 32819
Phone (407) 363-7760
4351 Hunters Park Ln
Orlando, FL 32837
Phone (407) 574-3129
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Orlando, FL
- NPI 1538104161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725235200000",
"number": "1518308170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4351 HUNTERS PARK LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328377614",
"telephone_number": "407-985-4700",
"fax_number": "407-985-4702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 HUNTERS PARK LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328377614",
"telephone_number": "407-574-3129",
"fax_number": "407-985-4702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR.BADAWY PAIN & SPINE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-11",
"last_updated": "2024-09-02",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "BADAWY",
"authorized_official_first_name": "AMR",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-985-4700"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "FL",
"license": "ME 110154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015074100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.