Active NPI
Vip Pain Services LLC
- Pain Medicine Physician
- Orange Park, FL
National Provider Identifier
1740936269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 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 DirectoryLocations
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.