PYRAMID PAIN AND REHAB P.A. (NPI# 1063655124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063655124 |
| Entity Type | Organization |
| Organization Name | PYRAMID PAIN AND REHAB P.A. |
| Other Organization Name | NORTH TEXAS COMPREHENSIVE SPINE AND PAIN CENTER |
| Practice Address |
1001 Sara Swamy Dr. Ste 220 Sherman TX 75090-3124 |
| Mailing Address |
Po Box 837 Howe TX 75491-0837 |
| Practice Telephone | 9038921999 |
| Practice Fax Number | 9038926999 |
| Mailing Telephone | 9034872248 |
| Mailing Fax Number | 9034872306 |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | SREENADHA R. VATTAM (MD) |
| Authorized Official Telephone | 9038921999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
M2851 | TX | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NSC | 6514340001 | 01 |
| TX | RR MEDICARE | DP2969 | 01 |
| Other Name | Type Code |
|---|---|
| North Texas Comprehensive Spine and Pain Center | Doing Business As Name - Organization |
| Street Address |
1001 SARA SWAMY DR. STE 220 |
| City | SHERMAN |
| State | TX |
| Zip Code | 75090-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666088 | Davie Michelle Kennington | Occupational Therapy Assistant | 1100 Sarah Swamy Ln, Sherman, TX 75090 | 2020-10-15 |
| 1346854841 | Clayton Wade Starnes | Nurse Practitioner | 2726 N. Masters St., Sherman, TX 75090 | 2020-09-02 |
| 1962029058 | Kimberly Stanhope | Licensed Vocational Nurse | 8001 S Us Highway, Sherman, TX 75090 | 2020-07-06 |
| 1578101218 | Go Operations 7 LLC | Skilled Nursing Facility | 5011 N. Us Highway 75, Sherman, TX 75090 | 2019-12-12 |
| 1457998767 | Oluyemisi F Olaniyan | Licensed Vocational Nurse | 8001 South High Way 75, Sherman, TX 75090 | 2019-12-05 |
| 1740847565 | Bianca Ramirez | Registered Nurse | 8001 S. Us Hwy, Sherman, TX 75090 | 2019-05-28 |
| 1164923447 | Linda Hannah | Licensed Vocational Nurse | 80015 Us Highway 75, Sherman, TX 75090 | 2018-02-22 |
| 1508366345 | Tracye Lynne Barthold | Licensed Vocational Nurse | 8001 S .hwy 75, Sherman, TX 75090 | 2018-02-19 |
| 1649789819 | Texoma Er LLC | Clinic/Center | 2022 N Hwy 75, Sherman, TX 75090 | 2017-09-20 |
| 1043736457 | Starla Hill | Specialist/Technologist | Aoc 8001 S Us Hwy, Sherman, TX 75090 | 2017-08-17 |
| Find all providers in zip 75090 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427082171 | Sreenadha Reddy Vattam | Physical Medicine & Rehabilitation | 1001 Sara Swamy Dr Ste 220, Sherman, TX 75090-3124 | 2006-07-10 |
| 1083691554 | Deborah R Fisher | Physical Medicine & Rehabilitation | 220 E Evergreen St, Sherman, TX 75090-5056 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314700 | Texas P&a LLC | Physical Medicine & Rehabilitation | 400 S Zang Blvd Ste 1210, Dallas, TX 75208-6624 | 2020-10-23 |
| 1598300386 | Ppsm Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1700, Houston, TX 77027-7317 | 2019-11-15 |
| 1942844634 | Bioprorestore LLC | Physical Medicine & Rehabilitation | 3275 College Park Dr, The Woodlands, TX 77384-4501 | 2019-11-05 |
| 1619511300 | South Garland Medical Pllc | Physical Medicine & Rehabilitation | 1301 Northwest Hwy Ste 209, Garland, TX 75041-5896 | 2019-11-05 |
| 1295389492 | Complete Pain Solutions | Physical Medicine & Rehabilitation | 1241 Campbell Rd, Houston, TX 77055-6453 | 2019-07-26 |
| 1063998706 | Advanced Rehab Medicine, Pllc | Physical Medicine & Rehabilitation | 9119 Hwy 6, Suite 230, #127, Missouri City, TX 77479 | 2018-07-16 |
| 1265922876 | Occmed Centers of El Paso, Pa | Physical Medicine & Rehabilitation | 311 Camino Estancias, El Paso, TX 79912-3424 | 2018-05-18 |
| 1710475801 | Performance Pain and Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1300, Houston, TX 77027-7310 | 2018-04-25 |
| 1275037574 | Rdt Technologies LLC | Physical Medicine & Rehabilitation | 3701 S Cooper St Ste 161, Arlington, TX 76015-3466 | 2018-03-21 |
| 1437662145 | Dfw Pain Institute Pllc | Physical Medicine & Rehabilitation | 14908 Devonshire Ln, Frisco, TX 75035-0648 | 2017-11-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.