Trinity Pain Center LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME98246 Issued in FL

Legal business name

TRINITY PAIN CENTER LLC

Practice address

8146 Cerebellum Way
Suite 102
Trinity, FL 34655-1784

Phone

(727) 264-8865

Fax

(855) 801-6125

NPI assigned

Apr 6, 2010

Organization subpart

No

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

• Anjan K Ghosh, M.D.

  • Interventional Pain Medicine Physician
  • Trinity, FL
  • NPI 1124089354

  FL, Interventional Pain Medicine

  Medicare reassignment Care Compare group NPD
• Azhar Pasha, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Trinity, FL
  • NPI 1770531337

  FL

  Medicare reassignment Care Compare group NPD
• Christopher J Wittmann, PAC

  • Surgical Physician Assistant
  • Trinity, FL
  • NPI 1437199486

  FL

  Medicare reassignment

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: damon.vu@trinitypaincenter.eclinicaldirectplus.com

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

Authorized official

Name

Terry M Bush

Title

Office Manager

Phone

(727) 264-8865

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1942525688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8146 CEREBELLUM WAY",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551784",
            "telephone_number": "727-264-8865",
            "fax_number": "727-608-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8146 CEREBELLUM WAY",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551784",
            "telephone_number": "727-264-8865",
            "fax_number": "855-801-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-264-8865"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME98246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "DD544A",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "damon.vu@trinitypaincenter.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "dr vu direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8146 Cerebellum Way",
            "address_2": "Suite 102",
            "city": "Trinity",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346551784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trinity Family Physicians PL
• Trinity Foot and Ankle PLLC
• Trinity Hearing &Balance Center
• Trinity Medical Associates L L C
• Trinity Oaks Family Medicine LLC
• Trinity SNF Operations LLC
• Trinity Surgery Center LLC
• Trinity Ufi LLC
• Trinity Village Dental, LLC
• Darshan Ghanshyambhai Trivedi, M.D.F.A.A.P

• All providers in Trinity, FL
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.