NPIMap

Organization Active NPI

Interventions in Pain Management LLC

  • Pain Clinic/Center
  • Bradenton, FL
National Provider Identifier
1538838370
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
INTERVENTIONS IN PAIN MANAGEMENT LLC
Practice address
2816 Manatee Ave W
Bradenton, FL 34205-4237
Phone
(941) 741-2030
NPI assigned
Sep 7, 2021
Last updated
Sep 7, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERVENTIONS IN PAIN MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Kerry P Panozzo, MDNPI 1225017957
Title
Owner
Phone
(309) 428-7055

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
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

2816 Manatee Ave W
Bradenton, FL 34205-4237

Mailing address

4110 Blackhawk Rd Ste 2
Rock Island, IL 61201-7039
Phone (309) 428-7055

National Provider Directory

National Provider Directory
Tax ID family
Kerry Panozzo MD PC5 organizations share this tax ID, including this one
Part of
Kerry Panozzo MD PC

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1538838370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BLACKHAWK RD STE 2",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017039",
            "telephone_number": "309-428-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054237",
            "telephone_number": "941-741-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONS IN PAIN MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERVENTIONS IN PAIN MANAGEMENT LLC",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "PANOZZO",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-428-7055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.