Advanced Interventional Pain Clinic, LLC.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ADVANCED INTERVENTIONAL PAIN CLINIC, LLC.

Practice address

451 S Milwee St
Longwood, FL 32750-4140

Phone

(407) 622-7246

Fax

(407) 599-7246

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Swamy Yatham

Title

Director

Phone

(407) 622-7246

Specialties & licenses 1

Addresses

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Advanced Interventional Pain Clinic LLC

  • Interventional Pain Medicine Physician
  • Orlando, FL
  • NPI 1760648273

  Member Of

  NPD member

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Suzann Horne, PA-C

  • Medical Physician Assistant
  • Jacksonville, FL
  • NPI 1013093384
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1861783458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32807",
            "telephone_number": "407-622-7246",
            "fax_number": "407-599-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S MILWEE ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504140",
            "telephone_number": "407-622-7246",
            "fax_number": "407-599-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERVENTIONAL PAIN CLINIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "YATHAM",
        "authorized_official_first_name": "SWAMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-622-7246"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Adair, RBT
• Brittayne Meltonia Adams
• Adrianne N Hauff, DC, P.a.
• Advanced Analgesia and Anesthesia, Inc
• Advanced Dental Care of Longwood PL
• Advanced RX Derm LLC
• Adventist Health System/Sunbelt, Inc.
• Maaria Ahmad
• Mozhgan Ahmadi Afshari, APRN
• Wasim Ahmar, MD

• All providers in Longwood, FL
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.