Active NPI
Alliance Medical Pain Management L L C
- Interventional Pain Medicine Physician
- Tampa, FL
National Provider Identifier
1558488452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- ALLIANCE MEDICAL PAIN MANAGEMENT L L C
- Practice address
- 10213 Lake Carroll Way
Suite a
Tampa, FL 33618-4405 - Phone
- (813) 877-6191
- Fax
- (813) 877-6195
- NPI assigned
- Mar 23, 2007
- Last updated
- Sep 14, 2007
- 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
- Carissa H Stone, M.D.
- Title
- President
- Phone
- (813) 877-6191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | NU | Primary |
Addresses
Primary practice location
10213 Lake Carroll Way
Suite a
Tampa, FL 33618-4405
Mailing address
10213 Lake Carroll Way
Suite a
Tampa, FL 33618-4405
Phone (813) 877-6191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27936Y | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryLocations
10033 N Dale Mabry Hwy
Ste A
Tampa, FL 33618
Phone (813) 877-6191
10213 Lake Carroll Way
Ste A
Tampa, FL 33618
Phone (813) 877-6191
701 W Fletcher Ave
Ste B
Tampa, FL 33612
Phone (813) 417-7447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189728000000",
"number": "1558488452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10213 LAKE CARROLL WAY",
"address_2": "SUITE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184405",
"telephone_number": "813-877-6191",
"fax_number": "813-877-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10213 LAKE CARROLL WAY",
"address_2": "SUITE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184405",
"telephone_number": "813-877-6191",
"fax_number": "813-877-6195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE MEDICAL PAIN MANAGEMENT L L C",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2007-09-14",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "CARISSA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-877-6191",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "27936Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.