Family Spine and Pain Care Institute LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

FAMILY SPINE AND PAIN CARE INSTITUTE LLC

Practice address

1525 Tamiami TRL S Ste 601
Venice, FL 34285-3568

Phone

(231) 638-1853

NPI assigned

Oct 10, 2018

Organization subpart

No

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

Authorized official

Name

Tatiana Robles

Title

Practice Admin

Phone

(239) 300-0987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20709/brand/1/csg/1/fhir/r4

Practitioners 4

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

• Omar Horacio Henriquez, M.D.

  • Interventional Pain Medicine Physician
  • Venice, FL
  • NPI 1306072004
  Medicare reassignment Care Compare group NPD
• Irina Kasperovich, FNP-C

  • Family Nurse Practitioner
  • Venice, FL
  • NPI 1366224495
  Medicare reassignment Care Compare group NPD
• Ryan Budwany, MD

  • Interventional Pain Medicine Physician
  • Lawrenceville, GA
  • NPI 1013302140

  FL

  Medicare reassignment NPD
• Luke James McCarthy, RN

  • Gerontology Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1881153146

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1619442209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 IMMOKALEE RD # 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101445",
            "telephone_number": "231-638-1853",
            "fax_number": "239-790-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 TAMIAMI TRL S STE 601",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853568",
            "telephone_number": "231-638-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SPINE AND PAIN CARE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "239-300-0987"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F Nicholas Gahhos MD PA (F. Nicholas Gahhos MD)
• F. Nicholas Gahhos MD PA (Aesthetic Plastic Surgery Center)
• Andrew Falestiny, DMD
• Michelle Emily Fallis, PA-C
• Family Friend Home Care LLC
• Family Traditions LLC.
• Arash Farahvar, MD
• Ahmed Omer Farooq, MD
• Lisa Farthing, SLP
• Joanne J Fava, DC

• Pain Medicine Physician in Venice, FL
• Providers in Venice, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.