Organization Active NPI

Premier Pain Care of Florida, Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Delray Beach, FL
National Provider Identifier
1891463386
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PREMIER PAIN CARE OF FLORIDA, INC
Practice address
701 SE 6TH Ave
Delray Beach, FL 33483-5186
Phone
(570) 872-9800
NPI assigned
Aug 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Mikhail Artamonov, MD
Title
MD Owner
Phone
(570) 872-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

701 SE 6TH Ave
Delray Beach, FL 33483-5186

Mailing address

231 Friemann Lane
Sciota, PA 18354

Other identifiers 1

IdentifierTypeStateIssuer
ME100837OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

701 SE 6th Ave
Delray Beach, FL 33483
Phone (570) 872-9800

701 SE 6th Ave
Ste 203B
Delray Beach, FL 33483
Phone (570) 872-9800

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1891463386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 FRIEMANN LANE",
            "city": "SCIOTA",
            "state": "PA",
            "postal_code": "18354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SE 6TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835186",
            "telephone_number": "570-872-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN CARE OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2023-03-07",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "ARTAMONOV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "570-872-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME100837",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.