Organization Active NPI

Doctors'Pain Management Associates,LLC

Doing business as Express Medical Care

  • Rehabilitation Clinic/Center
  • Orlando, FL
National Provider Identifier
1962747949
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
ME67861 Issued in FL
Legal business name
DOCTORS'PAIN MANAGEMENT ASSOCIATES,LLC
Doing business as
Express Medical Care
Practice address
1417 N Semoran Blvd
Suite 106
Orlando, FL 32807-3555
Phone
(407) 282-5809
Fax
(407) 282-5810
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Paul S Webster, M.D.
Title
Presidet/Owner
Phone
(407) 282-5809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X ME67861 FL Primary

Addresses

Primary practice location

1417 N Semoran Blvd
Suite 106
Orlando, FL 32807-3555

Mailing address

1417 N Semoran Blvd
Suite 106
Orlando, FL 32807-3555
Phone (407) 282-5809

Other names 1

  • EXPRESS MEDICAL CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070918000258 FL Part B Supplier - Clinic/Group Practice 8224122544 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sebring, FL; Kissimmee, FL; Orlando, 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

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1962747949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 N SEMORAN BLVD",
            "address_2": "SUITE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073555",
            "telephone_number": "407-282-5809",
            "fax_number": "407-282-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N SEMORAN BLVD",
            "address_2": "SUITE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073555",
            "telephone_number": "407-282-5809",
            "fax_number": "407-282-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS'PAIN MANAGEMENT ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDET/OWNER",
        "authorized_official_telephone_number": "407-282-5809",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "ME67861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPRESS MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.