Active NPI
Axiom Pain Management, LLC
- Health Maintenance Organization
- Jacksonville, FL
National Provider Identifier
1639455405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- AXIOM PAIN MANAGEMENT, LLC
- Practice address
- 2160 Dunn Ave # 1
Jacksonville, FL 32218-4718 - Phone
- (904) 743-2222
- NPI assigned
- Oct 25, 2011
- 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
- Dr. Vipul Patel, D.C.
- Title
- President
- Phone
- (904) 743-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
2160 Dunn Ave # 1
Jacksonville, FL 32218-4718
Mailing address
2160 Dunn Ave # 1
Jacksonville, FL 32218-4718
Phone (904) 743-2222
National Provider Directory
National Provider Directory- Tax ID family
- Axiom Pain Management LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1184945917
Locations
2160 Dunn Ave
#1
Jacksonville, FL 32218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319500800000",
"number": "1639455405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 DUNN AVE # 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184718",
"telephone_number": "904-743-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 DUNN AVE # 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184718",
"telephone_number": "904-743-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AXIOM PAIN MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "VIPUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-743-2222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.