Hyde Park Pain Management, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HYDE PARK PAIN MANAGEMENT, LLC

Practice address

188 Providence St
Hyde Park, MA 02136-1856

Phone

(781) 407-7713

NPI assigned

May 5, 2009

Organization subpart

No

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

Authorized official

Name

Roberto F Feliz, MD

Title

President

Phone

(781) 407-7713

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Anaesthesia Associates of Massachusetts, PC

  • Anesthesiology Physician
  • Westwood, MA
  • NPI 1326145517

  Member Of

  NPD member

Practitioners 1

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

• Richard Shockley, MD

  • Anesthesiology Physician
  • Westwood, MA
  • NPI 1316923493
  NPD (past)

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1619101763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 PROVIDENCE ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021361856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 PROVIDENCE ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021361856",
            "telephone_number": "781-407-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "FELIZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-407-7713",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina L Hicks, MS
• Christine Rose Hughes
• Hunhu, LLC
• Talia Hyatt
• Hyde Park Chiropractic Corp
• Hyde Park Pediatrics, P.C.
• Hyltons Healthcare Solutions LLC
• Inteclinco Home Health Services LLC
• Inview Diagnostic Imaging
• Iora Health Massachusetts, P.C.

• Ambulatory Surgical Clinic/Center in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Ambulatory Surgical Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.