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PRO ACTIVE PAIN CARE PA
NPI 1710457106
Anesthesiology - Pain Medicine in Bonita Springs, FL

Active since November 28, 2018CLIA 10D2166032 · Waiver
27160 BAY LANDING DR STE 200, BONITA SPRINGS, FL 34135(239) 676-5665(386) 676-5634 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2019, Nov 28, 2018 (2 updates tracked since 2018).

About Pro Active Pain Care Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO ACTIVE PAIN CARE PA (NPI 1710457106) is a healthcare organization registered as a pain medicine in Bonita Springs, Florida and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Michael David Martinez, President, as its authorized official.

NPPES Registry Identity

NPI1710457106
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePRO ACTIVE PAIN CARE PA
Location Address27160 BAY LANDING DR STE 200Bonita Springs, FL 34135-4301
Mailing Address27160 Bay Landing Dr Ste 200Bonita Springs, FL 34135-4301 · (239) 676-5665 · Fax (239) 221-3998
Phone(239) 676-5665
Fax(386) 676-5634
Organization SubpartNo
Authorized OfficialMichael David MartinezPresident · (239) 676-5665
Enumeration DateNovember 28, 2018
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1710457106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
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.
27160 BAY LANDING DR STE 200, Bonita Springs, FL 34135
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2166032

Pro Active Pain Care, P.A. · Bonita Springs, FL
Active · expires May 9, 2027
CLIA Number10D2166032
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorMichael Martinez
Laboratory Phone(239) 676-5665
Laboratory LocationPro Active Pain Care, P.A.27160 Bay Landing Dr Unit 200, Bonita Springs, FL 34135
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL DAVID MARTINEZ M.D.
Anesthesiology (Pain Medicine)
27160 BAY LANDING DR STE 200
BONITA SPRINGS, FL 34135
Lee County (239) 676-5665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pro Active Pain Care PA's NPI number?

The NPI number for Pro Active Pain Care PA is 1710457106. It was assigned to this organization in the NPPES registry on November 28, 2018.

Where is Pro Active Pain Care PA located?

Pro Active Pain Care PA is located at 27160 Bay Landing Dr Ste 200, Bonita Springs, FL 34135. The listed phone number is (239) 676-5665.

What is Pro Active Pain Care PA's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Pro Active Pain Care PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2166032) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pro Active Pain Care PA accept?

Health plans from Molina Healthcare list Pro Active Pain Care PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pro Active Pain Care PA was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.