Organization Active NPI

Alliance Medical Pain Management L L C

  • Interventional Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1558488452
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
27936YOtherFLBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.