PAIN MANAGEMENT & DIAGNOSTIC CENTER (NPI# 1083151369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083151369 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT & DIAGNOSTIC CENTER |
| Practice Address |
8440 Walnut Hill Ln Ste 340 Dallas TX 75231-3833 |
| Practice Telephone | 2142659991 |
| Mailing Telephone | 2142659991 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-03-21 |
| Authorized Official Name | RENAUD RODRIGUE (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2142659991 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | K4214 | TX | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
K4214 | TX | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
8440 WALNUT HILL LN STE 340 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350462 | Susan Carol Guba | Internal Medicine | 8440 Walnut Hill Ln, Suite 600, Dallas, TX 75231-3833 | 2005-10-14 |
| 1124677638 | Tiffany Nicole Stephens | Nurse Practitioner | 8440 Walnut Hill Ln, Dallas, TX 75231-3833 | 2019-09-06 |
| 1316509110 | Casey Westmoreland | Physician Assistant | 8440 Walnut Hill Ln, Dallas, TX 75231-3833 | 2019-07-01 |
| 1144767914 | Sonya Kirsten Rodrigue | Nurse Practitioner | 8440 Walnut Hill Ln, Suite 340, Dallas, TX 75231-3833 | 2017-01-31 |
| 1003208059 | Taylor Surgical Associates, Pllc | Registered Nurse | 8440 Walnut Hill Ln, Ste 250, Dallas, TX 75231-3833 | 2015-02-27 |
| 1295149276 | Jennifer Faye Massey | Nurse Practitioner | 8440 Walnut Hill Ln, Suite 540, Dallas, TX 75231-3833 | 2014-06-17 |
| 1235455536 | Michael Dehart | Nurse Practitioner | 8440 Walnut Hill Ln, Suite 540, Dallas, TX 75231-3833 | 2010-04-12 |
| 1053643726 | Melissa Rozakis | Clinical Nurse Specialist | 8440 Walnut Hill Ln, Suite 250, Dallas, TX 75231-3833 | 2010-02-05 |
| 1912138322 | Alison Wimberley Bray | Nurse Practitioner | 8440 Walnut Hill Ln, Suite 540, Dallas, TX 75231-3833 | 2009-08-03 |
| 1154581197 | Laurie Anne Even | Audiologist | 8440 Walnut Hill Ln, Suite 500, Dallas, TX 75231-3833 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
| 1528519410 | Pain Management Physicians of Dallas, Pllc. | Pain Medicine | 3430 W Wheatland Rd Ste 107, Dallas, TX 75237-3447 | 2016-10-17 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1477939320 | Premier Pain Solutions Pllc | Pain Medicine | 320 Regal Row Ste 300, Dallas, TX 75247-5215 | 2015-08-03 |
| 1275960866 | Neo Services, LLC | Pain Medicine | 2110 Research Row # B100-g, Dallas, TX 75235-2519 | 2013-09-27 |
| 1437407525 | Center for Spine Interventions, PC | Pain Medicine | 2713 Charles Hardy Pkwy Ste 222, Dallas, GA 30157-9470 | 2012-08-21 |
| 1356615074 | Phoenix Pain Clinic, Pllc | Pain Medicine | 1110 N Buckner Blvd Ste 100, Dallas, TX 75218-3498 | 2012-02-27 |
| 1134336142 | Carl E Noe Md Pa | Pain Medicine | 3600 Gaston Ave Ste 360, Dallas, TX 75246-1903 | 2007-05-17 |
| 1487774717 | United Partners In Radiology | Pain Medicine | 9090 Skillman St Ste 182a, Pmb 371, Dallas, TX 75243-8278 | 2007-03-30 |
| 1902427107 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 10400 N Central Expy, Dallas, TX 75231-2297 | 2020-04-29 |
| Find all providers in DALLAS | ||||
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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.