PAIN MANAGEMENT ASSOCIATES OF EAST TEXAS, PA (NPI# 1013905900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013905900 |
Entity Type | Organization |
Organization Name | PAIN MANAGEMENT ASSOCIATES OF EAST TEXAS, PA |
Practice Address |
300 Willow Creek Pkwy Suite 130 Palestine TX 75801-4421 |
Mailing Address |
Po Box 2427 Palestine TX 75802-2427 |
Practice Telephone | 9037232465 |
Practice Fax Number | 9036771694 |
Mailing Telephone | 9037232465 |
Mailing Fax Number | 9036771694 |
Enumeration Date | 2005-10-13 |
Last Update Date | 2014-03-07 |
Authorized Official Name | DR. RICHARD SCOTT COOPER (PRESIDENT) |
Authorized Official Telephone | 9036751186 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 1709560-01 | 05 |
Street Address |
300 WILLOW CREEK PKWY SUITE 130 |
City | PALESTINE |
State | TX |
Zip Code | 75801-4421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942209606 | Home Care Network East, Inc | Home Health | 300 Willow Creek Pkwy, 240, Palestine, TX 75801-4421 | 2005-07-15 |
1942689880 | Asha Kancharla Md Pa | Anesthesiology | 300 Willow Creek Pkwy, Palestine, TX 75801-4421 | 2015-05-26 |
1194145821 | Clifton Fincher | Nurse Anesthetist, Certified Registered | 300 Willow Creek Pkwy, Suite 130, Palestine, TX 75801-4421 | 2014-04-21 |
1699006254 | Willow Creek Surgery Center Lp | Clinic/Center | 300 Willow Creek Pkwy, Suite 100, Palestine, TX 75801-4389 | 2010-01-21 |
1821283441 | Brad A. Brazeal Md Pa | Psychiatry & Neurology | 300 Willow Creek Pkwy, Ste 210, Palestine, TX 75801-4421 | 2007-09-06 |
1922150663 | J. Don Jackson Jr, Md, Pa | Surgery | 300 Willow Creek Pkwy, Suite 200 A, Palestine, TX 75801-4421 | 2007-01-16 |
1730128661 | Sarah J Ramsay | Anesthesiology | 300 Willow Creek Pkwy, Palestine, TX 75801-4421 | 2006-06-06 |
1225012271 | Asha Kancharla | Anesthesiology | 300 Willow Creek Pkwy, Suite 210a, Palestine, TX 75801-4389 | 2005-12-02 |
1265415640 | Brad A Brazeal | Psychiatry & Neurology | 300 Willow Creek Pkwy, Ste 210, Palestine, TX 75801-4389 | 2005-11-21 |
1447248448 | Ronnie Todd Robinson | Nurse Anesthetist, Certified Registered | 300 Willow Creek Pkwy, Suite 130, Palestine, TX 75801-4421 | 2005-10-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669095113 | Savannah Lee Brumley | Speech-Language Pathologist | 550 Anderson County Road 160, Palestine, TX 75801 | 2020-05-19 |
1154964997 | Holly Studdard | Massage Therapist | 479 Acr 3971, Palestine, TX 75801 | 2019-10-24 |
1174096093 | Lisa Ann Tuley | Social Worker | 2001 Acr 156 #9, Palestine, TX 75801 | 2019-01-03 |
1194253955 | Scion Management Group Inc. | Durable Medical Equipment & Medical Supplies | 2256 S Sycamore St Ste 1, Palestine, TX 75801 | 2017-05-24 |
1225565013 | Blessed Beginnings Birth Center | Midwife | 3950 S. Hwy 19, Palestine, TX 75801 | 2017-05-11 |
1487060711 | Prakash Gadhiya | Dentist | 419 Old Elkhart Rd., Palestine, TX 75801 | 2014-07-08 |
1821428640 | Deonna Michelle Bynum | Nurse Practitioner | 126 Medical Drive, Suite B, Palestine, TX 75801 | 2013-11-14 |
1811249253 | Michael G. Key D.c. PC | Chiropractor | 2803 W. Oak Street, Palestine, TX 75801 | 2012-10-10 |
1740447747 | Andre Thomas | Orthopaedic Surgery | 4002 Loop 256, Suite G, Palestine, TX 75801 | 2008-05-19 |
1609055631 | Kathie S Carrier&medical Transport Dba | Non-emergency Medical Transport (VAN) | 1965 Anderson County Road 2101, Palestine, TX 75801 | 2007-10-26 |
Find all providers in zip 75801 |
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 |
---|---|---|---|---|
1942689880 | Asha Kancharla Md Pa | Anesthesiology | 300 Willow Creek Pkwy, Palestine, TX 75801-4421 | 2015-05-26 |
1225012271 | Asha Kancharla | Anesthesiology | 300 Willow Creek Pkwy, Suite 210a, Palestine, TX 75801-4389 | 2005-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033930 | Phuong Dinh Nguyen | Anesthesiology | 11726 E Streamertail Cir # 2, Cypress, TX 77433-6732 | 2020-11-08 |
1699375576 | Prwcswtx LLC | Anesthesiology | 700 Paredes Ave Ste 107, Brownsville, TX 78521-2169 | 2020-10-29 |
1235742388 | Tricity Pain Associates Pa | Anesthesiology | 14800 San Pedro Ave Ste 115, San Antonio, TX 78232-3734 | 2020-08-28 |
1669081915 | Laila Pm&a Group Inc | Anesthesiology | 1803 Longwood Ct, Allen, TX 75013-3074 | 2020-07-23 |
1164050498 | Manuel Ybarra Md | Anesthesiology | 255 E Sonterra Blvd Ste 203, San Antonio, TX 78258-4076 | 2020-03-31 |
1104451079 | Daniel Dalton Dubose, Md, Pa | Anesthesiology | 201 Crown Pointe Blvd Ste 200, Willow Park, TX 76087-1304 | 2020-03-11 |
1700423738 | Esplanade Medical Services Pllc | Anesthesiology | 2024 W 15th St # F-366, Plano, TX 75075-7363 | 2019-12-10 |
1760027700 | Sameer Syed, Md, Pa | Anesthesiology | 3151 W 15th St Ste B, Plano, TX 75075-7731 | 2019-11-13 |
1518501030 | Institute of Precision Pain Medicine, Pllc | Anesthesiology | 13725 Northwest Blvd Ste 120a, Corpus Christi, TX 78410-3743 | 2019-10-29 |
1629628672 | Yancey Pain & Spine, Lllp | Anesthesiology | 9200 Pinecroft Dr Ste 330, Shenandoah, TX 77380-3279 | 2019-09-11 |
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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.