JAX SPINE & PAIN CENTERS – NPI #1881643757
Anesthesiology

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Health Care Provider Taxonomy Code for Anesthesiology

JAX SPINE & PAIN CENTERS is an anesthesiologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1881643757 to JAX SPINE & PAIN CENTERS on May 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JAX SPINE & PAIN CENTERS” is a dba name, the actual legal business name for this organization is JACKSONVILLE SPINE CENTER PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 3 years ago on May 09, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAX SPINE & PAIN CENTERS below.

NPI Profile for
JACKSONVILLE SPINE CENTER PA

NPI Number
1881643757
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSONVILLE SPINE CENTER PA
Doing Business As (dba): JAX SPINE & PAIN CENTERS
Primary location
5191 FIRST COAST TECH PKWY
JACKSONVILLE, FL 32224
Phone: (904) 223-3321 Fax: (904) 223-2169
1 Other location(s):
5191 First Coast Tech Pkwy
Jacksonville, FL 32224
Phone: (904) 223-3321
Fax: (904) 223-2169
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALICIA GROTH
CREDENTIALING SPECIALIST
Phone: (904) 223-3321
Updated
Certification Date
May 09, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JAX SPINE & PAIN CENTERS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNPI # CLAUDIO VINCENTYFL1285604793
otherNPI#-CHRISTOPHER ROBERTSFL1912978149
otherNPI#-JOHN CAREY, M.D.FL1821069055
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)
208VP0014X
- Pain Medicine / Interventional Pain Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.