Active NPI
Neuspine Therapy LLC
- Interventional Pain Medicine Physician
- Dade City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- NEUSPINE THERAPY LLC
- Practice address
- 12880 US 301
Dade City, FL 33525-5801 - Phone
- (813) 388-2935
- NPI assigned
- Jan 29, 2018
- Organization subpart
- Yes
- Parent organization
- NEUSPINE ANCILLARY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Armen Deukmedjian, MD
- Title
- President
- Phone
- (813) 333-1186
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
12880 US 301
Dade City, FL 33525-5801
Mailing address
2653 Bruce B Downs Blvd Ste 108-168
Wesley Chapel, FL 33544-9206
Phone (813) 997-2099
Other practice location 1
2445 Country Place Blvd Ste 102
Trinity, FL 34655-1102
Phone (813) 388-2935
National Provider Directory
National Provider Directory- Part of
- Neuspine Ancillary LLC
Locations
2445 Country Place Blvd
Ste 102
Trinity, FL 34655
Practitioners & affiliated clinicians
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.
-
- Neurological Surgery Physician
- Wesley Chapel, FL
- NPI 1760670889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569974400000",
"number": "1801394440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2653 BRUCE B DOWNS BLVD STE 108-168",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335449206",
"telephone_number": "813-997-2099",
"fax_number": "813-280-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12880 US 301",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255801",
"telephone_number": "813-388-2935"
}
],
"practiceLocations": [
{
"address_1": "2445 Country Place Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Trinity",
"state": "FL",
"postal_code": "346551102",
"country_code": "US",
"telephone_number": "813-388-2935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEUSPINE THERAPY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEUSPINE ANCILLARY LLC",
"enumeration_date": "2018-01-29",
"last_updated": "2019-10-02",
"status": "A",
"authorized_official_last_name": "DEUKMEDJIAN",
"authorized_official_first_name": "ARMEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-333-1186",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.