NPIMap

Organization Active NPI

Doctors' Pain Management Associates, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Kissimmee, FL
National Provider Identifier
1861523938
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
DOCTORS' PAIN MANAGEMENT ASSOCIATES, LLC
Practice address
825 E Oak St
Kissimmee, FL 34744-5838
Phone
(321) 442-8009
Fax
(321) 442-8012
NPI assigned
Mar 8, 2007
Last updated
Apr 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Dr. Paul S Webster, MDNPI 1063470540
Title
President
Phone
(321) 442-8009

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

825 E Oak St
Kissimmee, FL 34744-5838

Mailing address

PO Box 420037
Kissimmee, FL 34742-0037
Phone (321) 442-8009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070918000258 FL Part B Supplier - Clinic/Group Practice 8224122544 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
Practice locations: Sebring, FL; Kissimmee, FL; Orlando, FL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

825 E Oak St
Kissimmee, FL 34744
Phone (321) 442-1214

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1861523938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420037",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347420037",
            "telephone_number": "321-442-8009",
            "fax_number": "321-442-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445838",
            "telephone_number": "321-442-8009",
            "fax_number": "321-442-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS' PAIN MANAGEMENT ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-442-8009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.