NORTH TEXAS ELECTRODIAGNOSTICS AND REHABILITATION PA (NPI# 1801072293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801072293 |
| Entity Type | Organization |
| Organization Name | NORTH TEXAS ELECTRODIAGNOSTICS AND REHABILITATION PA |
| Other Organization Name | DEFINITIVE REHABILITATION AND PAIN MANAGEMENT |
| Practice Address |
307 E Ovilla Rd Suite 600 Red Oak TX 75154-3833 |
| Practice Telephone | 9725762920 |
| Practice Fax Number | 9726173930 |
| Mailing Telephone | 9725762920 |
| Mailing Fax Number | 9726173930 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |
| Authorized Official Name | LORRAINE RUDDER (MEDICAL PROVIDER) |
| Authorized Official Telephone | 9725762920 |
| 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 |
J4489 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DEFINITIVE REHABILITATION AND PAIN MANAGEMENT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508916891 | North Texas Electrodiagnostics and Rehabilitation Pa | Physical Medicine & Rehabilitation | 307 E Ovilla Rd Ste 600, Red Oak, TX 75154-3896 | 2007-01-11 |
| Street Address |
307 E OVILLA RD SUITE 600 |
| City | RED OAK |
| State | TX |
| Zip Code | 75154-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588652382 | Corinne S Pearson | Dentist | 307 E Ovilla Rd, Suite 400, Red Oak, TX 75154-3833 | 2005-10-06 |
| 1205247582 | Justin Shields | Specialist | 307 E Ovilla Rd, Suite # 100, Red Oak, TX 75154-3898 | 2014-05-08 |
| 1811265085 | Robert Everette Ficula | Internal Medicine | 307 E Ovilla Rd, Suite 600, Red Oak, TX 75154-3898 | 2011-12-02 |
| 1861664658 | Aycox-pearson & Associates | Dentist | 307 E Ovilla Rd, Suite 400, Red Oak, TX 75154-3833 | 2008-04-01 |
| 1881873339 | Brenda Basken Ross | Chiropractor | 307 E Ovilla Rd, Suite 100, Red Oak, TX 75154-3898 | 2007-11-01 |
| 1649494261 | Red Oak Physical Medicine Clinic Pllc | Chiropractor | 307 E Ovilla Rd, Suite 100, Red Oak, TX 75154-3833 | 2007-04-13 |
| 1639229545 | Lorraine Rudder | Specialist | 307 E Ovilla Rd, Suite 600, Red Oak, TX 75154-3898 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396204814 | Red Oak Smile Center Pllc | Dentist | 300 N Saraf Rd, Ste 108, Red Oak, TX 75154 | 2019-03-14 |
| 1316429392 | Zoe Frances Clement | Specialist/Technologist | 128 Hollie Dr, Red Oak, TX 75154 | 2018-09-05 |
| 1447758685 | Into Loving Hearts & Hands Home Care LLC | Technician | 735 Ashln, Red Oak, TX 75154 | 2018-01-23 |
| 1114442522 | Vista Specialty, LLC | Pharmacy | 600 Methodist St., Suite 1120, Red Oak, TX 75154 | 2017-08-07 |
| 1063945848 | Austin Blvd. Family Dentistry, P.C. | Dentist | 101 Austin Blvd., Ste 100, Red Oak, TX 75154 | 2017-04-07 |
| 1609317148 | Anthony L Strauder | Nurse Anesthetist, Certified Registered | 111 Schley Rd, Red Oak, TX 75154 | 2017-03-16 |
| 1356881668 | Elledge Counseling Associates | Counselor | 328 Pebblebrook, Glenn Heights, TX 75154 | 2017-03-06 |
| 1952840787 | Nathanael Barnes | Nurse Anesthetist, Certified Registered | 100 Country Ridge Ct, Red Oak, TX 75154 | 2017-02-13 |
| 1366802589 | Quicktime Fitness | Chiropractor | 2506 Ovilla Road, Suite B, Red Oak, TX 75154 | 2016-03-01 |
| 1366751919 | Chester Copeland Jr. | Technician/Technologist | 204 London Lane, Glenn Heights, TX 75154 | 2010-09-30 |
| Find all providers in zip 75154 | ||||
| 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.