Physician Providers Group PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PHYSICIAN PROVIDERS GROUP PA

Doing business as

Comprehensive Pain Management Center

Practice address

305 S Line Ave
Inverness, FL 34452-4605

Phone

(352) 344-4791

Fax

(352) 344-3822

NPI assigned

Sep 12, 2005

Last updated

Jul 3, 2023By 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

Robert Ulseth, MDNPI 1043205305

Title

MD/Owner

Phone

(352) 344-4791

Specialties & licenses 1

Addresses

Other names 1

• COMPREHENSIVE PAIN MANAGEMENT CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

Practitioners 14

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.

• Robert Ulseth, MD

  • Pain Medicine Physician
  • Inverness, FL
  • NPI 1043205305

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Danny Joe McLaughlin, RPA-C

  • Physician Assistant
  • Inverness, FL
  • NPI 1639436264
  Medicare reassignment Care Compare group
• Rebecca Lynne Ferguson, APRN

  • Family Nurse Practitioner
  • Inverness, FL
  • NPI 1336560184
  Medicare reassignment NPD
• Astrid Louis, ARNP

  • Family Nurse Practitioner
  • Lady Lake, FL
  • NPI 1033600770
  Medicare reassignment NPD
• Indra B Ramdayal, C-ARNP

  • Nurse Practitioner
  • The Villages, FL
  • NPI 1356460638
  Medicare reassignment NPD
• Kellie Sue Williams, NP-C

  • Family Nurse Practitioner
  • Lecanto, FL
  • NPI 1992006506

  Multi-Specialty

  Medicare reassignment NPD
• Alicia M Mason

  • Nurse Practitioner
  • Brunswick, GA
  • NPI 1669975611

  FL

  Medicare reassignment NPD
• Agda L Hart, P.A

  • Physician Assistant
  • Ocala, FL
  • NPI 1598099723
  Medicare reassignment
• Kenneth Marshal Lemos, PA-C

  • Physician Assistant
  • Spring Hill, FL
  • NPI 1750333209
  Medicare reassignment
• Cesar A Euribe, MD

  • Interventional Pain Medicine Physician
  • Ocala, FL
  • NPI 1174517676
  NPD
• Amy L Dixon, APRN

  • Family Nurse Practitioner
  • Inverness, FL
  • NPI 1932766334
  NPD (past)
• Marco Ghignone, MD

  • Pain Medicine (Anesthesiology) Physician
  • West Palm Beach, FL
  • NPI 1366422172
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1720073216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1925",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321581925",
            "telephone_number": "523-553-4075",
            "fax_number": "888-770-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S LINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524605",
            "telephone_number": "352-344-4791",
            "fax_number": "352-344-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PROVIDERS GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "ULSETH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "352-344-4791",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE PAIN MANAGEMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMPREHENSIVE PAIN MANAGEMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phi Health, LLC (PHI Air Medical)
• Roxanne A Phillip
• Megan Phillips, OTR/L
• Diane H. Phinney, LCSW
• Phoenix Emergency Services of Inverness LLC
• Edgar L Pichardo, D.M.D.
• David W Powers, MD
• Faith J Powers, PSY.D.
• Grant B Powers
• Charles Alexander Prentice, MD

• Specialist in Inverness, FL
• Providers in Inverness, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.