INTERVENTIONAL SPINE ASSOCIATES PA (NPI# 1154833416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154833416 |
Entity Type | Organization |
Organization Name | INTERVENTIONAL SPINE ASSOCIATES PA |
Practice Address |
709 E Goode St Suite 300 Quitman TX 75783 |
Mailing Address |
Po Box 7939 Tyler TX 75711-7939 |
Practice Telephone | 9035931738 |
Practice Fax Number | 9035967852 |
Mailing Telephone | 9035931738 |
Mailing Fax Number | 9035967852 |
Enumeration Date | 2017-10-26 |
Last Update Date | 2017-10-26 |
Authorized Official Name | MR. DAVID WARREN (OFFICE MANAGER) |
Authorized Official Telephone | 9035931738 |
Is Organization Subpart | Y |
Parent Organization Name | INTERVENTIONAL SPINE ASSOCIATES PA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
L5579 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790794121 | Interventional Spine Associates Pa | Anesthesiology | 700 Olympic Plaza Cir Ste 404, Tyler, TX 75701-1952 | 2006-08-05 |
1174912398 | Interventional Spine Associates Pa | Durable Medical Equipment & Medical Supplies | 2001 N Jefferson Ave, Suite 200, Mount Pleasant, TX 75455-2338 | 2015-01-12 |
Street Address |
709 E GOODE ST SUITE 300 |
City | QUITMAN |
State | TX |
Zip Code | 75783 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063061901 | Jerry Brown | Technician | 429 Cr 1448, Quitman, TX 75783 | 2019-09-04 |
1710050042 | Brookshire Grocery Company | Pharmacy | 502c East Goode, Attention Pharmacy Dept, Quitman, TX 75783 | 2006-11-16 |
1952933152 | Scott's Quitman Pharmacy, LLC | Pharmacy | 310 E Goode St, Ste E, Quitman, TX 75783 | 2020-02-06 |
1780969592 | Alba-golden Isd | Local Education Agency (LEA) | 209 Conger, Quitman, TX 75783 | 2011-10-13 |
1356455356 | George V Cathey Jr. | Family Medicine | 117 N Winnsboro St, Quitman, TX 75783 | 2006-08-18 |
1932121027 | Gregory S Eberhart | Dentist | 208 South Main Street, Quitman, TX 75783 | 2006-07-24 |
1932439262 | Foot Clinic of East Texas, PC | Podiatrist | 711 E Goode St, Quitman, TX 75783-1623 | 2010-01-08 |
1225117419 | Jordan & Gillis Inc | Skilled Nursing Facility | 1026 E Goode St, Quitman, TX 75783-1641 | 2006-11-06 |
1780149401 | Ls Quitman Operator LLC | Skilled Nursing Facility | 1026 E Goode St, Quitman, TX 75783-1641 | 2019-02-06 |
1134600372 | Rolando Fabian | Occupational Therapy Assistant | 1026 E Goode St, Quitman, TX 75783-1641 | 2018-08-26 |
Find all providers in zip 75783 |
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 |
---|---|---|---|---|
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.