Organization Active NPI

Sarasota Pain Management, Inc.

  • Pain Medicine Physician
  • Sarasota, FL
National Provider Identifier
1639464191
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
LC9311 Issued in FL
Legal business name
SARASOTA PAIN MANAGEMENT, INC.
Practice address
5580 Bee Ridge Rd
Building B
Sarasota, FL 34233-1505
Phone
(941) 921-3500
Fax
(941) 921-3300
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Mr. Courtland Twyman
Title
PSTD
Phone
(941) 921-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X LC9311 FL Primary

Addresses

Primary practice location

5580 Bee Ridge Rd
Building B
Sarasota, FL 34233-1505

Mailing address

PO Box 53067
Sarasota, FL 34232-0326
Phone (941) 921-3500

National Provider Directory

National Provider Directory

Locations

5580 Bee Ridge Rd
Bldg B
Sarasota, FL 34233
Phone (941) 724-0901

5580 Bee Ridge Rd
#B
Sarasota, FL 34233
Phone (941) 379-8237

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1639464191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53067",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342320326",
            "telephone_number": "941-921-3500",
            "fax_number": "941-921-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 BEE RIDGE RD",
            "address_2": "BUILDING B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331505",
            "telephone_number": "941-921-3500",
            "fax_number": "941-921-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA PAIN MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "TWYMAN",
        "authorized_official_first_name": "COURTLAND",
        "authorized_official_title_or_position": "PSTD",
        "authorized_official_telephone_number": "941-921-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "LC9311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.