Marion Pain Management Center Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

MARION PAIN MANAGEMENT CENTER INC

Practice address

1737A SE 28TH Loop
Ocala, FL 34471-1079

Phone

(352) 622-1840

Fax

(352) 622-0137

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mangala Shetty, MDNPI 1770501413

Title

Owner

Phone

(352) 622-1840

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4685/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Mangala J Shetty, MD

  • Pain Medicine Physician
  • Ocala, FL
  • NPI 1770501413
  Authorized official Same address or phone

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1538258561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917572",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917572",
            "telephone_number": "888-877-3850",
            "fax_number": "631-329-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737A SE 28TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711079",
            "telephone_number": "352-622-1840",
            "fax_number": "352-622-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION PAIN MANAGEMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "MANGALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-622-1840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254258700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion Oaks Assised Living
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• Marion Oaks Medical Clinic of Central Florida Inc
• Marion Oaks Optical, Inc.
• Marion Oaks Pharmacy Inc
• Marion Pediatrics
• Marion Pediatrics
• Marion Radiology Center, P.a.
• Marion Senior Services, Inc.
• Marion Surgery Center Anesthesia, Inc

• Pain Medicine (Anesthesiology) Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.