Pain Management and Spine Care Center PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME88499 Issued in FL

Legal business name

PAIN MANAGEMENT AND SPINE CARE CENTER PA

Practice address

12148 Cortez Blvd
Brooksville, FL 34613-5575

Phone

(352) 597-7184

Fax

(352) 597-7186

NPI assigned

May 25, 2006

Last updated

May 10, 2018By 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

Eyad AlsabbaghNPI 1295789444

Title

Owner / Provider

Phone

(352) 597-7184

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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.

• Eyad Alsabbagh, MD

  • Interventional Pain Medicine Physician
  • Brooksville, FL
  • NPI 1295789444
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1780630459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12148 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135575",
            "telephone_number": "352-597-7184",
            "fax_number": "352-597-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12148 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135575",
            "telephone_number": "352-597-7184",
            "fax_number": "352-597-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT AND SPINE CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "ALSABBAGH",
        "authorized_official_first_name": "EYAD",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "352-597-7184"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME88499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0703",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277666900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher D Packey, M.D., PH.D.
• Aylen Padro Sam
• Linda S Paey, O.D.
• Cecilia Margarita Paez, DO
• Rey Yamil Pagan-Rivera, M.D
• Kevin V Palmer, M.D.
• Palmyra Pharmacy LLC
• Osmany Palomino, DO
• Jennifer Michele Paolillo
• Paradigm Dental (shuayb dental)

• Interventional Pain Medicine Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.