BEACHES LASER SPINE AND PAIN MEDICINE – NPI #1417309832
Pain Medicine
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.
BEACHES LASER SPINE AND PAIN MEDICINE is a provider located in JACKSONVILLE BEACH, FL. NPPES has assigned the NPI number 1417309832 to BEACHES LASER SPINE AND PAIN MEDICINE on July 09, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACHES LASER SPINE AND PAIN MEDICINE” is a dba name, the actual legal business name for this organization is BEACHES BEHAVIORAL MEDICINE. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 3 years ago on Jan 12, 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 BEACHES LASER SPINE AND PAIN MEDICINE below.
NPI Profile for
BEACHES BEHAVIORAL MEDICINE
(about 10 years ago)
All associated names:
BEACHES LASER SPINE AND PAIN MEDICINE
Beaches Specialty Group
JACKSONVILLE BEACH, FL 32250-3237 Phone: (904) 280-6701 Fax: (904) 280-6702
1 Other location(s):
Ste B
Jacksonville, FL 32204
Phone: (904) 280-6701
Fax: (904) 280-6702
PONTE VEDRA BEACH, FL 32004-1557 Phone: (904) 280-6701 Fax: (904) 280-6702
PRESIDENT
Phone: (904) 280-6701
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 for BEACHES LASER SPINE AND PAIN MEDICINE
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | FL | 00863244100 |
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 |
|---|---|---|
| 208VP0014X - Pain Medicine / Interventional Pain Medicine (Primary) |
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| 208VP0000X - Pain Medicine / Pain Medicine |
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| 2084P2900X - Psychiatry & Neurology / Pain Medicine |
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| 2084P0804X - Psychiatry & Neurology / Child & Adolescent Psychiatry |
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| 2084P0800X - Psychiatry & Neurology / Psychiatry |
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| 2084A0401X - Psychiatry & Neurology / Addiction Medicine |
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| 2083A0300X - Preventive Medicine / Addiction Medicine |
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| 207QA0401X - Family Medicine / Addiction Medicine |
FL | ME115625 |
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.