OUCH PA NPI 1144383746

NPI Information

NPI: 1144383746
Provider Name: OUCH, PA
Classification: Specialist - 174400000X
Entity Type: Organization
Doing Business As: PHYSICIANS PAIN CENTER
CLIA Number: 10D1107399
Address: 105 SOUTHPARK BLVD
SUITE C 300
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 808-7246

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NPI Details

OUCH, PA is a specialist in St Augustine, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OUCH, PA NPI is 1144383746. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Physicians Pain Center.

The provider's business location address is:

105 SOUTHPARK BLVD
SUITE C 300
ST AUGUSTINE, FL
ZIP 32086-162
Phone: (904) 808-7246
Fax: (904) 808-7090

The provider's authorized official is Jyoti Patel .
The authorized official title is Partner and has the following contact phone number (904) 808-7246.

The CLIA number assigned to this NPI record is 10D1107399 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 11/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34189	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
2	7612385	OTHER	FLORIDA	AETNA
3	34189	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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