INTEGRATIVE PAIN MANAGEMENT CENTER PLLC (NPI# 1821573650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821573650 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE PAIN MANAGEMENT CENTER PLLC |
| Practice Address |
7920 Belt Line Rd Ste 120 Dallas TX 75254-8148 |
| Practice Telephone | 2142212580 |
| Practice Fax Number | 2144462323 |
| Mailing Telephone | 2142212580 |
| Mailing Fax Number | 2144462323 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | DR. IGOR RAKOVCHIK (PROVIDER) |
| Authorized Official Telephone | 2142212580 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
7920 BELT LINE RD STE 120 |
| City | DALLAS |
| State | TX |
| Zip Code | 75254-8148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821329442 | Charles R. Crane, M.d. and Associates | Specialist | 7920 Belt Line Rd Ste 120, Dallas, TX 75254-8148 | 2010-01-21 |
| 1578993093 | Dfw Injury & Rehab Center, P.a. | Family Medicine | 7920 Belt Line Rd Ste 120, Dallas, TX 75254-8148 | 2013-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119479 | Danielle Nicole Tolliver | Occupational Therapist | 4651 Dallas Pkwy, Suite 200, Dallas, TX 75254 | 2020-06-19 |
| 1164981593 | Christopher Richardson | Behavior Technician | 14785 Preston Rd Suite 550, Dallas, TX 75254 | 2019-03-15 |
| 1295224582 | Gerald Blake Ashlock | Counselor | 14400 Montfort Dr, Apt 1605, Dallas, TX 75254 | 2018-05-02 |
| 1851890685 | Gayle Deniese Hillman | Counselor | 14117 Montfort Dr, Dallas, TX 75254 | 2018-02-07 |
| 1568987386 | Riverstone Care LLC | Community/Behavioral Health | 14145 Noel Rd, 206, Dallas, TX 75254 | 2017-08-14 |
| 1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
| 1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
| 1932552338 | Rashonda Poston | Developmental Therapist | 5902 Preston Oaks Rd, Apt 2093, Dallas, TX 75254 | 2016-07-20 |
| 1326452699 | Anita Griffin | Specialist/Technologist | 5220 Spring Valley Road, Suite 400, Dallas, TX 75254 | 2014-06-16 |
| 1669721973 | Steve Willis Tobias | Physician Assistant | 5917 Beltline, Dallas, TX 75254 | 2012-08-31 |
| Find all providers in zip 75254 | ||||
| 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 |
| 1720441538 | Omni Spine Pain Management, Pllc | Physical Medicine & Rehabilitation | 6243 Retail Rd Ste 500, Dallas, TX 75231-7867 | 2016-03-30 |
| 1306227640 | Yu M. Chiu | Physical Medicine & Rehabilitation | Pending Practice Location, Dallas, TX 75201 | 2015-06-12 |
| 1083929087 | Ricardo Aaron Miranda | Physical Medicine & Rehabilitation | 12222 N Central Expy # 150, Dallas, TX 75243-3755 | 2010-08-13 |
| 1396906673 | Nara Prapan Pravat | Physical Medicine & Rehabilitation | 15136 Majorca St, Dallas, TX 75248-6423 | 2008-06-19 |
| 1780637298 | Cpr and R LLC | Physical Medicine & Rehabilitation | 17742 Preston Rd, Dallas, TX 75252-6199 | 2006-05-18 |
| 1992770002 | Steven Lane Casey | Physical Medicine & Rehabilitation | 3131 Turtle Creek Blvd, Suite #1101, Dallas, TX 75219-5405 | 2006-02-22 |
| 1699243584 | Carefirst Medical Group | Physical Medicine & Rehabilitation | 9353 Elam Rd, Dallas, TX 75217-4181 | 2018-11-08 |
| 1649701681 | Arthritis and Chronic Pain Relief Institute Pllc | Physical Medicine & Rehabilitation | 17330 Preston Rd, Suite 200 D, Dallas, TX 75252-5997 | 2017-03-22 |
| 1376914473 | Arthritis Strategies of Texas, Pllc | Physical Medicine & Rehabilitation | 8611 Hillcrest Ave, Suite 200 B, Dallas, TX 75225-4203 | 2015-10-14 |
| Find all providers in DALLAS | ||||
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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.