Pain Medicine Specialists Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME0032630 Issued in FL

Legal business name

PAIN MEDICINE SPECIALISTS INC

Practice address

111 N Lakemont Ave
Suite 2E
Winter Park, FL 32792-3217

Phone

(407) 628-5838

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Antonio Certo, M.D.

Title

Ceo/Medical Director

Phone

(407) 628-5838

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922114875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N LAKEMONT AVE",
            "address_2": "SUITE 2E",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923217",
            "telephone_number": "407-628-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N LAKEMONT AVE",
            "address_2": "SUITE 2E",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923217",
            "telephone_number": "407-628-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICINE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CERTO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-628-5838",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME0032630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NUMBER",
            "identifier": "P00231386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Padawer, SA-C, CSFA
• Alexandra Nichole Paden
• Lisa Yvonne Padua
• Eva Pagan Hill, LMHC
• Barry Paige
• Elizabeth Rose Pain, ARNP
• Paladin Chiropractic Inc
• Derrick Adam Paladino, PH.D, LMHC, LPC, NCC
• Dimitry Michael Palceski, D.O.
• Palm Coast Spine and Rehab Inc

• Interventional Pain Medicine Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.