Organization Active NPI

Naturecoast Pain Associates Inc

  • Anesthesiology Physician
  • Lecanto, FL
National Provider Identifier
1982953089
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NATURECOAST PAIN ASSOCIATES INC
Practice address
70 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone
(352) 527-4444
Fax
(352) 746-7829
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Christopher Mark Fallows, D.O.NPI 1093745705
Title
President
Phone
(352) 527-4444

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

70 N Lecanto Hwy
Lecanto, FL 34461-9190

Mailing address

70 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-4444

Other identifiers 3

IdentifierTypeStateIssuer
GM283AOtherFLMEDICARE PTAN
DT1184OtherRAILROAD MEDICARE
003QUOtherFLFLORIDA BLUE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120924000199 FL Part B Supplier - Clinic/Group Practice 0749438356 Receives reassigned benefits from 2 practitioners
Practice locations: Lecanto, FL

National Provider Directory

National Provider Directory
Tax ID family
Gentle Anesthesia Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

70 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-4444

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": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1982953089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619190",
            "telephone_number": "352-527-4444",
            "fax_number": "352-746-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619190",
            "telephone_number": "352-527-4444",
            "fax_number": "352-746-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURECOAST PAIN ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "FALLOWS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-527-4444",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GM283A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DT1184",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "003QU",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.