Hawthorne Oncology Pain Experts LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

HAWTHORNE ONCOLOGY PAIN EXPERTS LLC

Practice address

2727 West Martin Luther King Blvd, Suite 520
Tampa, FL 33607

Phone

(215) 779-9999

NPI assigned

Oct 17, 2022

Organization subpart

No

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

Authorized official

Name

Edward Podgorski III, MD

Title

Owner

Phone

(215) 779-9999

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Marion Podgorski III III, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tampa, FL
  • NPI 1760832828
  Medicare reassignment NPD

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1558087056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W MLK BLVD STE 520",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076000",
            "telephone_number": "813-538-7600",
            "fax_number": "813-538-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 WEST MARTIN LUTHER KING BLVD, SUITE 520",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "215-779-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE ONCOLOGY PAIN EXPERTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "PODGORSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-779-9999",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, 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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Nicole Hawkins, MD FRCPC
• Danielle Hawkins
• Davillee Hawkins
• Kenneth B Hawkins II
• Carlsita Hawls
• Brittany Blair Hay, APRN
• Sebastian Hayatyfar, APRN
• Ondrea Haydel, LCSW
• Angela Louise Hayer, BA
• Alex Hayes, M.D.

• Interventional Pain Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.