PYRAMID PAIN & REHAB P.A. (NPI# 1811158843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811158843 |
Entity Type | Organization |
Organization Name | PYRAMID PAIN & REHAB P.A. |
Practice Address |
3500 Interstate 30 Building D, Suite # 203 Mesquite TX 75150-2696 |
Mailing Address |
6447 Malaga Irving TX 75039-3191 |
Practice Telephone | 2147656978 |
Mailing Telephone | 2147656978 |
Enumeration Date | 2008-06-23 |
Last Update Date | 2008-06-23 |
Authorized Official Name | SREENADHA R VATTAM (CEO) |
Authorized Official Telephone | 2147656978 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
M2851 | TX | Allopathic & Osteopathic Physicians |
Street Address |
3500 INTERSTATE 30 BUILDING D, SUITE # 203 |
City | MESQUITE |
State | TX |
Zip Code | 75150-2696 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477515534 | Martin John Deschner | Psychologist | 3500 Interstate 30, Suite B-240, Mesquite, TX 75150-2696 | 2006-04-04 |
1558446997 | Paul Yeboah | Nurse Anesthetist, Certified Registered | 3500 Interstate 30, Mesquite, TN 75150 | 2006-10-26 |
1952409351 | Sherly Shaji | Nurse Anesthetist, Certified Registered | 3500 Interstate 30, Mesquite, TX 75150-2636 | 2006-09-20 |
1346351640 | Mesquite Anesthesiology Association, Pa | Anesthesiology | 3500 Interstate 30, Mesquite, TX 75150-2636 | 2006-08-31 |
1063526499 | Pierre Herding | Psychiatry & Neurology | 3500 Interstate 30, Suite 103, Mesquite, TX 75150-2676 | 2006-08-19 |
1811929169 | Yuri Lemeshev | Pathology | 3500 Interstate 30, Department of Pathology, Mesquite, TX 75150 | 2006-07-07 |
1558391458 | Yuri Lemeshev Md Pa | Pathology | 3500 Interstate 30, Department of Pathology, Mesquite, TX 75150 | 2006-07-04 |
1134162746 | Lone Star Hma L P | Rehabilitation Unit | 3500 Interstate 30, At Motley Dr, Mesquite, TX 75150-2696 | 2006-06-13 |
1851353783 | Misy Janalee Hoye | Physical Therapist | 3500 Interstate 30, Mesquite, TX 75150-2696 | 2006-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124630991 | Affordable Home Health Care | Home Health | 3637 E. Us. Highway 80, Mesquite, TX 75150 | 2020-08-21 |
1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
1578109542 | Phyllis Renee Cephas | Counselor | 2200 N. Belt Line Road, #728, Mesquite, TX 75150 | 2019-11-25 |
1033766068 | Darryl E Richmond Jr. | Physical Therapist | 2578 N Galloway Ave, 100, Mesquite, TX 75150 | 2019-08-23 |
1922666916 | Jd Mesquite Dental Pllc | Dentist | 909 Tripp Rd Ste 190, Mesquite, TX 75150 | 2019-06-04 |
1134681349 | Champions Rehabilitation, LLC | Clinic/Center | 1675 Republic Parkway Suite 201, Mesquite, TX 75150 | 2019-04-05 |
1205317351 | Sheila Katherine Bartley | Occupational Therapist | 3617 O'hare Dr., Mesquite, TX 75150 | 2018-08-27 |
1295215028 | Amanda Greene | Occupational Therapy Assistant | 3617 Ohare Drive, Mequite, TX 75150 | 2018-08-21 |
1053890244 | Barbara Mohrle | Occupational Therapist | 2231 Us Highway 80e, Willow Bend Nursing and Rehab, Mesquite, TX 75150 | 2018-08-09 |
1679052120 | Brenda Johnson | Counselor | 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 | 2018-08-07 |
Find all providers in zip 75150 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093314700 | Texas P&a LLC | Physical Medicine & Rehabilitation | 400 S Zang Blvd Ste 1210, Dallas, TX 75208-6624 | 2020-10-23 |
1598300386 | Ppsm Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1700, Houston, TX 77027-7317 | 2019-11-15 |
1942844634 | Bioprorestore LLC | Physical Medicine & Rehabilitation | 3275 College Park Dr, The Woodlands, TX 77384-4501 | 2019-11-05 |
1619511300 | South Garland Medical Pllc | Physical Medicine & Rehabilitation | 1301 Northwest Hwy Ste 209, Garland, TX 75041-5896 | 2019-11-05 |
1295389492 | Complete Pain Solutions | Physical Medicine & Rehabilitation | 1241 Campbell Rd, Houston, TX 77055-6453 | 2019-07-26 |
1063998706 | Advanced Rehab Medicine, Pllc | Physical Medicine & Rehabilitation | 9119 Hwy 6, Suite 230, #127, Missouri City, TX 77479 | 2018-07-16 |
1265922876 | Occmed Centers of El Paso, Pa | Physical Medicine & Rehabilitation | 311 Camino Estancias, El Paso, TX 79912-3424 | 2018-05-18 |
1710475801 | Performance Pain and Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1300, Houston, TX 77027-7310 | 2018-04-25 |
1275037574 | Rdt Technologies LLC | Physical Medicine & Rehabilitation | 3701 S Cooper St Ste 161, Arlington, TX 76015-3466 | 2018-03-21 |
1437662145 | Dfw Pain Institute Pllc | Physical Medicine & Rehabilitation | 14908 Devonshire Ln, Frisco, TX 75035-0648 | 2017-11-16 |
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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.