Organization Active NPI

Right Path Pain and Spine Center PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Davenport, FL
National Provider Identifier
1942520333
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
78730 Issued in FL
Legal business name
RIGHT PATH PAIN AND SPINE CENTER PLLC
Practice address
141 Webb Dr
Suite 200
Davenport, FL 33837-3951
Phone
(863) 422-0020
Fax
(863) 422-0021
NPI assigned
Jun 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Tom M Porter, MDNPI 1013903095
Title
Owner
Phone
(863) 422-0020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 78730 FL Primary

Addresses

Primary practice location

141 Webb Dr
Suite 200
Davenport, FL 33837-3951

Mailing address

141 Webb Dr
Suite 200
Davenport, FL 33837-3951
Phone (863) 422-0020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100929001500 FL Part B Supplier - Clinic/Group Practice 1355467168 Receives reassigned benefits from 12 practitioners
Practice locations: Davenport, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2011338Right Path Pain and Spine Center PLLC141 Webb Dr Ste 300, Davenport, FL 33837Certificate of waiverAug 15, 2026

National Provider Directory

National Provider Directory

Locations

141 Webb Dr
Ste 200
Davenport, FL 33837
Phone (863) 422-0020

7350 Sandlake Commons Blvd
Ste 2205
Orlando, FL 32819
Phone (407) 707-6200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11192/brand/4/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1942520333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WEBB DR",
            "address_2": "SUITE 200",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373951",
            "telephone_number": "863-422-0020",
            "fax_number": "863-422-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WEBB DR",
            "address_2": "SUITE 200",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373951",
            "telephone_number": "863-422-0020",
            "fax_number": "863-422-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGHT PATH PAIN AND SPINE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-422-0020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "78730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.