Provider Demographics
NPI:1669438693
Name:ANESTHESIA & PAIN MEDICINE PA
Entity Type:Organization
Organization Name:ANESTHESIA & PAIN MEDICINE PA
Other - Org Name:PAIN MEDICINE PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:
Authorized Official - Last Name:REGENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-833-8893
Mailing Address - Street 1:1500 N DIXIE HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2712
Mailing Address - Country:US
Mailing Address - Phone:561-833-8893
Mailing Address - Fax:866-777-2262
Practice Address - Street 1:1500 N DIXIE HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2712
Practice Address - Country:US
Practice Address - Phone:561-833-8893
Practice Address - Fax:866-777-2262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0065837207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1548267065OtherJOHN COONEY, MD NPI#
FL1134126014OtherSHELDON REGENBAUM NPI#
FL1265439459OtherKEVIN CHAITOFF, MD NPI#
FL377349300Medicaid
FL97485Medicare ID - Type UnspecifiedGROUPMEDICARE
FLD21219Medicare UPIN
FL1134126014OtherSHELDON REGENBAUM NPI#
FL1265439459OtherKEVIN CHAITOFF, MD NPI#