Organization Active NPI

Joseph E Mouhanna MD PA

  • Pain Medicine (Anesthesiology) Physician
  • South Miami, FL
National Provider Identifier
1962697029
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
JOSEPH E MOUHANNA MD PA
Practice address
7575 SW 62ND Ave Ste B
South Miami, FL 33143-4904
Phone
(305) 445-7246
Fax
(305) 447-6588
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Dr. Joseph E Mouhanna, M.D.NPI 1295711000
Title
Owner President
Phone
(305) 445-7246

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 Primary

Addresses

Primary practice location

7575 SW 62ND Ave Ste B
South Miami, FL 33143-4904

Mailing address

7575 SW 62ND Ave Ste B
South Miami, FL 33143-4904
Phone (305) 445-7246

Other names 1

  • Miami Pain & Diagnostics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051213000375 FL Part B Supplier - Clinic/Group Practice 5395721393 Receives reassigned benefits from 2 practitioners
Practice locations: South Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1962697029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 SW 62ND AVE STE B",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434904",
            "telephone_number": "305-445-7246",
            "fax_number": "305-447-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 SW 62ND AVE STE B",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434904",
            "telephone_number": "305-445-7246",
            "fax_number": "305-447-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH E MOUHANNA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "MOUHANNA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "305-445-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Pain & Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.