Spine and Pain Medicine Center PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0060231 Issued in FL

Legal business name

SPINE AND PAIN MEDICINE CENTER PA

Practice address

8811 State Road 52
Suite 21
Hudson, FL 34667-6784

Phone

(727) 861-2277

Fax

(727) 861-2062

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel H Bender, M.D.NPI 1649257908

Title

President

Phone

(727) 861-2277

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8505/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.

• Daniel Howard Bender, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hudson, FL
  • NPI 1649257908
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1609051150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 STATE ROAD 52",
            "address_2": "SUITE 21",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676784",
            "telephone_number": "727-861-2277",
            "fax_number": "727-861-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 STATE ROAD 52",
            "address_2": "SUITE 21",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676784",
            "telephone_number": "727-861-2277",
            "fax_number": "727-861-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND PAIN MEDICINE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-861-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0060231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "6464300001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Rocco Sorrentino, P.T.
• Domenick J Sorresso, M.D.
• Maria C Soto-Aguilar, M.D.
• Andrea Rita Spencer, APRN FNP-C
• Hannah Allison Spilker, PTA
• Spine Center of Excellence, LLC
• Ronald Anthony Spinelle, DO
• Kevin Scott Spires, MD
• Sheila Deck Spires, PH.D.
• Olive Spoeth

• Specialist in Hudson, FL
• Providers in Hudson, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.