Active NPI
Stop Pain PA
- Pain Medicine (Anesthesiology) Physician
- Jacksonville, FL
National Provider Identifier
1689319865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- STOP PAIN PA
- Practice address
- 13554 Atlantic Blvd
Jacksonville, FL 32225-3233 - Phone
- (917) 913-5521
- NPI assigned
- May 2, 2022
- 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
- Una Sibirceva, MD
- Title
- Owner
- Phone
- (917) 913-5521
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
13554 Atlantic Blvd
Jacksonville, FL 32225-3233
Mailing address
13554 Atlantic Blvd
Jacksonville, FL 32225-3233
Phone (917) 913-5521
National Provider Directory
National Provider DirectoryLocations
13554 Atlantic Blvd
Jacksonville, FL 32225
Phone (718) 676-0560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1689319865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13554 ATLANTIC BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322253233",
"telephone_number": "917-913-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13554 ATLANTIC BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322253233",
"telephone_number": "917-913-5521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOP PAIN PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-02",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A",
"authorized_official_last_name": "SIBIRCEVA",
"authorized_official_first_name": "UNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-913-5521",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.