Organization Active NPI

Vip Pain Services LLC

  • Pain Medicine Physician
  • Orange Park, FL
National Provider Identifier
1740936269
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
VIP PAIN SERVICES LLC
Practice address
905 Park Ave Ste 102
Orange Park, FL 32073-4110
Phone
(904) 736-2335
Fax
(904) 736-2336
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Dr. Alexis A Jimenez, MD
Title
Owner
Phone
(904) 736-2335

Specialties & licenses 1

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

Addresses

Primary practice location

905 Park Ave Ste 102
Orange Park, FL 32073-4110

Mailing address

PO Box 217
Jacksonville, FL 32234-0217
Phone (904) 736-2335

National Provider Directory

National Provider Directory

Locations

13245 Atlantic Blvd
Ste 4
Jacksonville, FL 32225

905 Park Ave
Ste 102
Orange Park, FL 32073
Phone (904) 736-2335

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": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1740936269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322340217",
            "telephone_number": "904-736-2335",
            "fax_number": "904-736-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 PARK AVE STE 102",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734110",
            "telephone_number": "904-736-2335",
            "fax_number": "904-736-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP PAIN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-736-2335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.