SPINE & NEURO PAIN SPECIALISTS
NPI 1962767913
Pain Medicine - Interventional Pain Medicine in Chipley, FL

NPI Status: Active since July 05, 2012

Contact Information

877 3RD ST
SUITE 3
CHIPLEY, FL
ZIP 32428
Phone: (850) 638-0505

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About SPINE & NEURO PAIN SPECIALISTS

This page provides the complete NPI Profile along with additional information for Spine & Neuro Pain Specialists, a provider established in Chipley, Florida operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1962767913 assigned on July 2012. The practitioner's primary taxonomy code is 208VP0014X with license number ME89523 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Spine & Neuro Pain Specialists. The authorized official of this NPI record is Dr. Aaron J. Shores Md (President)

NPI
1962767913
Provider Legal Name
DREAM MEDICAL LLC
Other Organization Name
SPINE & NEURO PAIN SPECIALISTS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
877 3RD ST SUITE 3 CHIPLEY, FL 32428
Location Phone
(850) 638-0505
Mailing Address
2103 JENKS AVE PANAMA CITY, FL 32405
Mailing Phone
(850) 763-8000
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-05-2012
Last Update Date
08-28-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
License No.
ME89523
License State
FL
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. AARON J. SHORES MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(850) 763-8000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6598520001MEDICARE NSC (07)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962767913
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221461492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 4 + 6 + 1 + 4 + 9 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1962767913 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245251487PANHANDLE FAMILY MEDICINE PA
Organization
Family Medicine877 3RD ST SUITE 4
CHIPLEY, FL 32428
(850) 638-4555
1750454781GERI-CARE ASSISTED LIVING & REHABILITATIVE CENTER
Organization
Clinic/Center (Rehabilitation)877 3RD ST SUITE 1
CHIPLEY, FL 32428
(850) 638-8447
1801016423MRS. JENNIFER ANDREU STAFFORD M.A. CCC-SLP
Individual
Speech-Language Pathologist877 3RD ST STE. 1
CHIPLEY, FL 32428
(850) 638-8447
1013192822 FREDDIE A KOLMETZ PT
Individual
Physical Therapist877 3RD ST SUITE 1
CHIPLEY, FL 32428
(850) 638-8447
1740465566 ALAN S JUSTICE PT
Individual
Physical Therapist877 3RD ST SUITE 1
CHIPLEY, FL 32428
(850) 638-8447
1992967798MRS. RHONDA JEAN BEST COTA/L
Individual
Occupational Therapy Assistant877 3RD ST SUITE 1
CHIPLEY, FL 32428
(850) 638-8447
1326378282PANHANDLE FAMILY MEDICINE, PA
Organization
Family Medicine877 3RD ST SUITE 4
CHIPLEY, FL 32428
(850) 638-4555
1942626957 JENNIFER VINTA PTA
Individual
Physical Therapy Assistant877 3RD ST SUITE 1
CHIPLEY, FL 32428
(850) 638-8447
1457778441 CHELSEA TURNER PTA
Individual
Physical Therapy Assistant877 3RD ST SUITE #1
CHIPLEY, FL 32428
(850) 638-8447
1831155662RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)877 3RD ST STE 2
CHIPLEY, FL 32428
(850) 638-7783

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962767913, enumerated in the NPI registry as an "organization" on July 05, 2012

The provider is located at 877 3rd St Suite 3 Chipley, Fl 32428 and the phone number is (850) 638-0505

This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 05, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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