NPIMap

Organization Active NPI

Lopez Pain Management LLC

Doing business as Triune Pain and Spine Specialists

  • Interventional Pain Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1902655731
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
LOPEZ PAIN MANAGEMENT LLC
Doing business as
Triune Pain and Spine Specialists
Practice address
5367 Spring Hill Dr
Spring Hill, FL 34606-4540
Phone
(352) 600-6780
Fax
(352) 600-6765
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Christine Rivenbark
Title
Administrator
Phone
(910) 256-0075

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

5367 Spring Hill Dr
Spring Hill, FL 34606-4540

Mailing address

5601 Captains LN
Wilmington, NC 28409-3619
Phone (910) 256-0075

Other names 1

  • Triune Pain and Spine Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170329002453 FL Part B Supplier - Clinic/Group Practice 8325323538 Receives reassigned benefits from 13 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Coast, FL; Naples, FL; Spring Hill, FL; Sarasota, 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
Tax ID family
Lopez Pain Management LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5367 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 600-6780

Practitioners & affiliated clinicians

Practitioners 12

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": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1902655731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 CAPTAINS LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093619",
            "telephone_number": "910-256-0075",
            "fax_number": "877-296-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5367 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064540",
            "telephone_number": "352-600-6780",
            "fax_number": "352-600-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZ PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "RIVENBARK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-256-0075"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triune Pain and Spine Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.