NPIMap

Organization Active NPI

Restore Medical Partners, PLLC

Doing business as Restore Medical Partners

  • Pain Medicine (Anesthesiology) Physician
  • Venice, FL
National Provider Identifier
1891148250
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME 119800 Issued in FL
Legal business name
RESTORE MEDICAL PARTNERS, PLLC
Doing business as
Restore Medical Partners
Practice address
333 S Tamiami TRL
Suite 169/171
Venice, FL 34285-2402
Phone
(941) 375-3006
Fax
(941) 218-4825
NPI assigned
Jul 20, 2016
Last updated
Sep 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Lindsey T Job, MDNPI 1346444833
Title
Medical Director
Phone
(615) 517-2162

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME 119800 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME 119800 FL Primary
Pain Medicine Physician 208VP0000X FJ2955740 FL
Interventional Pain Medicine Physician 208VP0014X ME 119800 FL

Addresses

Primary practice location

333 S Tamiami TRL
Suite 169/171
Venice, FL 34285-2402

Mailing address

333 S. Tamiami TRL
Suite 169/171
Venice, FL 34285-2402
Phone (941) 375-3006

Other identifiers 1

IdentifierTypeStateIssuer
ME119800OtherFLSTATE LICENSE

Other names 1

  • Restore Medical Partners Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161227000510 FL Part B Supplier - Clinic/Group Practice 1951682426 Receives reassigned benefits from 24 practitioners
Practice locations: Venice, FL
O20170710000167 FL DME Supplier - Physician - Interventional Pain Management 1951682426 Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

333 Tamiami Trl S
Ste 101
Venice, FL 34285
Phone (941) 375-3006

333 Tamiami Trl S
Ste 169171
Venice, FL 34285
Phone (941) 375-3006

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1891148250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S. TAMIAMI TRL",
            "address_2": "SUITE 169/171",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852402",
            "telephone_number": "941-375-3006",
            "fax_number": "941-218-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S TAMIAMI TRL",
            "address_2": "SUITE 169/171",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852402",
            "telephone_number": "941-375-3006",
            "fax_number": "941-218-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MEDICAL PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "JOB",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-517-2162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME 119800",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME 119800",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "FJ2955740",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME 119800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME119800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Medical Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.