LAKES AREA PAIN AND REHAB PLLC (NPI# 1104128743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104128743 |
| Entity Type | Organization |
| Organization Name | LAKES AREA PAIN AND REHAB PLLC |
| Other Organization Name | LAKES AREA PAIN AND REHAB |
| Practice Address |
755 N 11th St Ste P2280 Beaumont TX 77702-1525 |
| Practice Telephone | 4098924600 |
| Practice Fax Number | 4098924605 |
| Mailing Telephone | 4098924600 |
| Mailing Fax Number | 4098924605 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | CRAIG ANTHONY CHARLESTON (PARTNER) |
| Authorized Official Telephone | 4098924600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LAKES AREA PAIN AND REHAB | Other Name - Individual/Organization |
| Street Address |
755 N 11TH ST STE P2280 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186610 | Timothy Kelly Colgan | Internal Medicine | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2005-07-07 |
| 1821649872 | Lindsay Kay Nagel | Registered Nurse | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2019-09-21 |
| 1760952022 | S E Texas Pain Management Pllc | Anesthesiology | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2018-11-29 |
| 1689824864 | Janet L Warner | Nurse Practitioner | 755 N 11th St Ste P2280, Coastal Pain Care, Beaumont, TX 77702-1525 | 2008-09-24 |
| 1437347614 | Timothy K. Colgan Md Pa | Internal Medicine | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| 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 |
|---|---|---|---|---|
| 1144722380 | Interventional Pain Specialists, Pllc | Pain Medicine | 80 Ih 10 N Ste 101, Beaumont, TX 77702-2128 | 2018-03-04 |
| 1710308358 | Beaumont Spine Associates | Pain Medicine | 3820 Pointe Pkwy, Beaumont, TX 77706-2000 | 2013-12-28 |
| 1821225475 | Southern Anesthetics, Pllc | Pain Medicine | 755 North 11th Street, P2280, Beaumont, TX 77702-1525 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958086 | Universal Health Solutions LLC | Pain Medicine | 15223 Park Estates Ln, Houston, TX 77062-3657 | 2020-09-27 |
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1316568512 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 | 2020-04-29 |
| 1376172304 | Am/pm Medical Centers | Pain Medicine | 800 W Airport Fwy # 625, Irving, TX 75062-6312 | 2020-04-02 |
| 1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
| 1215568035 | Casey Jones LLC | Pain Medicine | 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 | 2020-01-30 |
| 1801435896 | Comprehensive Pain Institute Pllc | Pain Medicine | 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 | 2019-12-23 |
| 1497301386 | Skilled Pain Care Clinic, P.a. | Pain Medicine | 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 | 2019-08-15 |
| 1154976025 | Stephen M. Sims, Md, Pa | Pain Medicine | 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 | 2019-08-07 |
| 1104479146 | Shaw Pain Clinic Pllc | Pain Medicine | 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 | 2019-07-18 |
| 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.