Clay Pain Center Physicians LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

CLAY PAIN CENTER PHYSICIANS LLC

Practice address

1564 Kingsley Ave
Orange Park, FL 32073-4511

Phone

(904) 264-0400

NPI assigned

Jun 22, 2009

Last updated

Jun 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carl R. Noback, MDNPI 1386620532

Title

Member

Phone

(941) 360-1566

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl R Noback, MD

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1386620532
  NPD (past) Authorized official
• Kenneth Layne Berry, D.C.

  • Chiropractor
  • St Augustine, FL
  • NPI 1841494077
  NPD (past)

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1659508273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864483",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734511",
            "telephone_number": "904-264-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY PAIN CENTER PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "NOBACK",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "941-360-1566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clay Behavioral Health Center, Inc.
• Clay Behavioral Health Center, Inc.
• Clay Chiropractic and Rehabilitation
• Clay County Medical Investors, LLC (Life Care Center of Orange Park)
• Clay Internal Medicine PA
• Clay Physical Therapy PA
• Clay Primary & Family Care LLC
• Clay Pulmonary Services PA
• Clay Surgery Center LLP
• Clear Ear Hearing of Northeast Florida, LLC. (Clear Ear Hearing Systems)

• Pain Medicine Physician in Orange Park, FL
• Providers in Orange Park, 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 Jun 24, 2009; 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.