360 PAIN AND REHABILITATION PLLC (NPI# 1760701809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760701809 |
| Entity Type | Organization |
| Organization Name | 360 PAIN AND REHABILITATION PLLC |
| Other Organization Name | PAIN CENTER AUSTIN |
| Practice Address |
2200 Park Bend Dr Blgd 1, Suite 201 Austin TX 78758-5387 |
| Mailing Address |
Po Box 9135 Corpus Christi TX 78469-9135 |
| Practice Telephone | 5123682200 |
| Practice Fax Number | 5123632201 |
| Mailing Telephone | 5123682200 |
| Mailing Fax Number | 5123632201 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2011-04-26 |
| Authorized Official Name | MS. MORGAN B KRULL (BILLING MANAGER) |
| Authorized Official Telephone | 5123635779 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pain Center Austin | Doing Business As Name - Organization |
| Street Address |
2200 PARK BEND DR BLGD 1, SUITE 201 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-5387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115595 | Richard B Stovall | Neurological Surgery | 2200 Park Bend Dr, Bldg 2, Ste 201, Austin, TX 78758-5388 | 2005-09-21 |
| 1811410392 | Brenda Cobian Olmos | Nurse Practitioner | 2200 Park Bend Dr, Austin, TX 78758-5387 | 2017-07-17 |
| 1538610274 | Rockdale Blackhawk, LLC | General Practice | 2200 Park Bend Dr, Bldg 2-301, Austin, TX 78758-5387 | 2016-10-18 |
| 1538612981 | Lily Swann | Physical Therapist | 2200 Park Bend Dr, Austin, TX 78758-5387 | 2016-08-02 |
| 1669826376 | Antionne Harp | Chiropractor | 2200 Park Bend Dr, Suite 300, Austin, TX 78758-5387 | 2016-04-19 |
| 1699154716 | Cs Surgical Pllc | Physician Assistant | 2200 Park Bend Dr, Ste 2-201, Austin, TX 78758-5387 | 2015-05-21 |
| 1699169276 | Tessa Gibbs | Nurse Practitioner | 2200 Park Bend Dr, Building 1 Suite 201, Austin, TX 78758-5388 | 2015-03-23 |
| 1063815769 | Neva M. Schmelzer | Nurse Practitioner | 2200 Park Bend Dr, Bldg 1, Suite 401, Austin, TX 78758-5387 | 2014-10-08 |
| 1851790083 | Matthew Gieringer | Physical Therapist | 2200 Park Bend Dr, Building 1 Suite 202, Austin, TX 78758-5387 | 2014-08-13 |
| 1629484852 | Sara Jean Linedecker | Pharmacist | 2200 Park Bend Dr, Bldg 1, Ste 300, Austin, TX 78758-5387 | 2014-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| 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 |
|---|---|---|---|---|
| 1013292317 | Geremy L Sanders Md Pa | Anesthesiology | 911 W 38th St Ste 303, Austin, TX 78705-1188 | 2011-10-18 |
| 1811128887 | Sauman Arman Rafii | Anesthesiology | 12176 N Mopac Expy Ste D, Austin, TX 78758-2908 | 2009-08-07 |
| 1215191416 | Veena Sankar | Anesthesiology | 3006 Pearce Rd, Austin, TX 78730-4332 | 2008-07-16 |
| 1770766313 | Paul Hien Le | Anesthesiology | 711 W 38th St Ste D4, Austin, TX 78705-1131 | 2007-12-05 |
| 1225109648 | Sarosh Saleemi | Anesthesiology | 6618 Sitio Del Rio Blvd Ste 101, Austin, TX 78730 | 2006-11-10 |
| 1609873603 | Neal H Blauzvern | Anesthesiology | 8015 Shoal Creek Blvd Ste 103, Austin, TX 78757-8051 | 2005-07-05 |
| 1992708820 | Julian Lowell Haro | Anesthesiology | 101 W Koenig Ln, Ste 100, Austin, TX 78751-1213 | 2005-05-24 |
| 1700419595 | Antipain Lifestyle, LLC | Anesthesiology | 6104 Old Fredericksburg Rd # 92844, Austin, TX 78749-1216 | 2020-02-20 |
| 1114408242 | Excelsior Pain Management Pllc | Anesthesiology | 1600 W 38th St, Austin, TX 78731 | 2018-08-27 |
| 1639655533 | Mark Malone Md Pa | Anesthesiology | 7307 Creekbluff Dr, Austin, TX 78750 | 2018-07-13 |
| 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.