CENTRAL TEXAS PAIN INSTITUTE PLLC (NPI# 1235503012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235503012 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS PAIN INSTITUTE PLLC |
| Other Organization Name | PAIN SPECIALISTS OF AUSTIN |
| Practice Address |
2500 W William Cannon Dr Suite 206 Austin TX 78745-5257 |
| Mailing Address |
Po Box 733946 Dallas TX 75373-3946 |
| Practice Telephone | 5124857200 |
| Practice Fax Number | 5124857220 |
| Mailing Telephone | 5124857200 |
| Mailing Fax Number | 5124857224 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | LORI FULLER (REV CYCLE MANAGEMENT) |
| Authorized Official Telephone | 5124857200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | J7566 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE ;PTAN | 00R03W | 01 |
| Other Name | Type Code |
|---|---|
| Pain Specialists of Austin | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588038368 | Central Texas Pain Institute Pllc | Durable Medical Equipment & Medical Supplies | 1401 Medical Pkwy Ste 345, Cedar Park, TX 78613-7763 | 2015-11-17 |
| 1316956832 | Central Texas Pain Institute Pllc | Specialist | 4100 N Duval Rd Bldg IIi, Suite 200, Austin, TX 78759-4275 | 2006-08-05 |
| 1932573714 | Central Texas Pain Institute Pllc | Durable Medical Equipment & Medical Supplies | 10252 W Adams Ave, Temple, TX 76502-5848 | 2015-11-17 |
| Street Address |
2500 W WILLIAM CANNON DR SUITE 206 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-5257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761494 | Austin Southwest Orthopaedic Group, P.a. | Surgery | 2500 W William Cannon Dr, Ste 401, Austin, TX 78745-5257 | 2005-09-27 |
| 1811406804 | Adrianne Underwood | Specialist/Technologist | 2500 W William Cannon Dr, 704, Austin, TX 78745-5257 | 2017-09-22 |
| 1659828564 | David Wayne Jackson II | Behavioral Analyst | 2500 W William Cannon Dr, 704, Austin, TX 78745-5257 | 2016-09-08 |
| 1740699727 | Dhara Virani | Physical Therapist | 2500 W William Cannon Dr, 409, Austin, TX 78745-5257 | 2014-08-04 |
| 1336556422 | Lynn Griffin | Nurse Practitioner | 2500 W William Cannon Dr, Building #503, Austin, TX 78745-5257 | 2014-07-21 |
| 1407279268 | Nicole Elizabeth Lennon | Midwife | 2500 W William Cannon Dr, Bldg. 5 Suite 503, Austin, TX 78745-5257 | 2014-01-30 |
| 1760722797 | Pediatric and Allergy Clinic of Austin, Pa | Nurse Practitioner | 2500 W William Cannon Dr, 204, Austin, TX 78745-5257 | 2013-02-28 |
| 1669732947 | Lorelei Holly Noble | Massage Therapist | 2500 W William Cannon Dr, Suite 601, Austin, TX 78745-5257 | 2012-05-21 |
| 1902179393 | Lisa Mcbride | Speech-Language Pathologist | 2500 W William Cannon Dr, Suite 704, Austin, TX 78745-5257 | 2012-02-15 |
| 1679841613 | Sofia Luque, Dds, Pllc | Dentist | 2500 W William Cannon Dr, Austin, TX 78745-5257 | 2011-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210548 | Pro Med Supplies LLC | Durable Medical Equipment & Medical Supplies | 8617 Spicewood Springs Rd Apt 246, Austin, TX 78759-4358 | 2020-09-18 |
| 1770109308 | Onyx Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2512 S Ih 35 Ste 130, Austin, TX 78704-5750 | 2020-06-19 |
| 1467076802 | Affordable Dme LLC | Durable Medical Equipment & Medical Supplies | 2121 E Oltorf St Ste 2, Austin, TX 78741-4559 | 2020-06-02 |
| 1518589571 | Lotus Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2109 Fortview Rd, Austin, TX 78704-7511 | 2020-05-13 |
| 1639790066 | Fortify Medical Devices & Supplies | Durable Medical Equipment & Medical Supplies | 2106 W Ben White Blvd, Austin, TX 78704-7521 | 2020-04-27 |
| 1235760620 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-02-04 |
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1548813660 | 360 Wound Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 10713 N Ranch Road 620 Ste 513, Austin, TX 78726-1771 | 2019-07-17 |
| 1437701067 | Fitmelon LLC | Durable Medical Equipment & Medical Supplies | 4201 Monterey Oaks Blvd Apt 1316, Austin, TX 78749-1031 | 2019-07-13 |
| 1508424409 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2500 W Parmer Ln Ste 120, Austin, TX 78727-4232 | 2019-06-05 |
| Find all providers in AUSTIN | ||||
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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.