INTERVENTIONAL SPINE ASSOCIATES PA (NPI# 1174912398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174912398 |
Entity Type | Organization |
Organization Name | INTERVENTIONAL SPINE ASSOCIATES PA |
Practice Address |
2001 N Jefferson Ave Suite 200 Mount Pleasant TX 75455-2338 |
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 | 2015-01-12 |
Last Update Date | 2015-02-02 |
Authorized Official Name | ROBERT M SUTHERLAND (OFFICEER) |
Authorized Official Telephone | 9035931738 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154833416 | Interventional Spine Associates Pa | Pain Medicine | 709 E Goode St, Suite 300, Quitman, TX 75783 | 2017-10-26 |
1790794121 | Interventional Spine Associates Pa | Anesthesiology | 700 Olympic Plaza Cir Ste 404, Tyler, TX 75701-1952 | 2006-08-05 |
Street Address |
2001 N JEFFERSON AVE SUITE 200 |
City | MOUNT PLEASANT |
State | TX |
Zip Code | 75455-2338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467455261 | Alvin Ernest Glenn | Nurse Anesthetist, Certified Registered | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2371 | 2005-05-24 |
1285263970 | Lacy White | Registered Nurse | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2020-04-03 |
1851921357 | Cheryl Ann Shovan | Registered Nurse | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2020-01-23 |
1104383082 | Jami Lanette Baker | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-27 |
1194281626 | Caleb Heath Mitchell | Nurse Anesthetist, Certified Registered | 2001 N Jefferson Ave, Mount Pleasant, TX 75455 | 2019-02-20 |
1780140194 | Angela Fritz | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-11 |
1972068328 | Jordan Kreusch | Physical Therapy Assistant | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-08 |
1659879443 | Laura Jean Arendt | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2018-01-26 |
1417471566 | Nicole Kalgren | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2017-07-31 |
1629505912 | Krystal Rachelle Bridwell | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455 | 2017-05-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801351242 | Dan P Mccauley Dds Pa | Dentist | 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2019-02-08 |
1427565282 | Thelma Louise Frazier | Registered Nurse | 2610 Greenhill Rd, Mount Pleasant, TX 75455 | 2018-01-02 |
1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
1003367780 | Valerie Ann Snyder | Nurse Practitioner | 203 W 20th St Ste C, Mt Pleasant, TX 75455 | 2016-10-18 |
1417316803 | Gaurav Narang | Dentist | 1401 S. Jefferson Blvd., 4, Mount Pleasant, NV 75455 | 2016-02-15 |
1366828972 | The Lodge Assisted Living/memory Care | Assisted Living Facility | 1880 W 16th St, Mt Pleasant, TX 75455 | 2015-08-05 |
1740665413 | Megan Nye | Chiropractor | 1318 South Jefferson, Mount Pleasant, TX 75455 | 2015-07-23 |
1407277239 | Northeast Texas Community College Dental Hygiene Clinic | Dentist | 2886 Fm 1735, Chapel Hill Road, Mt. Pleasant, TX 75455 | 2013-12-20 |
1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
1760792030 | Kay Madelon Harmon | Occupational Therapist | 2003 N. Edwards, Plesant Springs Healthcare Center, Mt. Plesant, TX 75455 | 2010-10-20 |
Find all providers in zip 75455 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033930 | Phuong Dinh Nguyen | Anesthesiology | 11726 E Streamertail Cir # 2, Cypress, TX 77433-6732 | 2020-11-08 |
1699375576 | Prwcswtx LLC | Anesthesiology | 700 Paredes Ave Ste 107, Brownsville, TX 78521-2169 | 2020-10-29 |
1235742388 | Tricity Pain Associates Pa | Anesthesiology | 14800 San Pedro Ave Ste 115, San Antonio, TX 78232-3734 | 2020-08-28 |
1669081915 | Laila Pm&a Group Inc | Anesthesiology | 1803 Longwood Ct, Allen, TX 75013-3074 | 2020-07-23 |
1164050498 | Manuel Ybarra Md | Anesthesiology | 255 E Sonterra Blvd Ste 203, San Antonio, TX 78258-4076 | 2020-03-31 |
1104451079 | Daniel Dalton Dubose, Md, Pa | Anesthesiology | 201 Crown Pointe Blvd Ste 200, Willow Park, TX 76087-1304 | 2020-03-11 |
1700423738 | Esplanade Medical Services Pllc | Anesthesiology | 2024 W 15th St # F-366, Plano, TX 75075-7363 | 2019-12-10 |
1760027700 | Sameer Syed, Md, Pa | Anesthesiology | 3151 W 15th St Ste B, Plano, TX 75075-7731 | 2019-11-13 |
1518501030 | Institute of Precision Pain Medicine, Pllc | Anesthesiology | 13725 Northwest Blvd Ste 120a, Corpus Christi, TX 78410-3743 | 2019-10-29 |
1629628672 | Yancey Pain & Spine, Lllp | Anesthesiology | 9200 Pinecroft Dr Ste 330, Shenandoah, TX 77380-3279 | 2019-09-11 |
Find all providers with the same taxonomy |
City | MOUNT PLEASANT |
Zip Code | 75455 |
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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.