IMED PHYSICIAN NETWORK, INC. DBA SPECIALTY CARE CLINICS (NPI# 1063809465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063809465 |
| Entity Type | Organization |
| Organization Name | IMED PHYSICIAN NETWORK, INC. DBA SPECIALTY CARE CLINICS |
| Practice Address |
2700 W Pleasant Run Rd Ste 340 Lancaster TX 75146-1074 |
| Mailing Address |
Po Box 2668 Desoto TX 75123-2668 |
| Practice Telephone | 9728654454 |
| Practice Fax Number | 2148884450 |
| Mailing Telephone | 9728654454 |
| Mailing Fax Number | 2148884450 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | RAJI KUMAR (CEO) |
| Authorized Official Telephone | 9728654454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2700 W PLEASANT RUN RD STE 340 |
| City | LANCASTER |
| State | TX |
| Zip Code | 75146-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801392188 | Otha Watson | Home Health | 3003 Driftwood Ln, Lancaster, TX 75146 | 2018-04-04 |
| 1295278208 | Habibat Addulkarim Audu | Licensed Vocational Nurse | 1211 Westridge Avenue, 202, Lancaster, TX 75146 | 2016-11-22 |
| 1154772457 | Dion Leathers | Physician Assistant | 439 Francis St, Lancaster, TX 75146 | 2016-06-28 |
| 1205287828 | Elisha Chapman | Specialist/Technologist, Other | 415 S Dallas Ave, Lancaster, TX 75146 | 2016-06-24 |
| 1205224862 | Bestin Abraham | Pharmacist | 350 N. Bluegrove Rd, Lancaster, TX 75146 | 2015-01-06 |
| 1134525751 | Shekina Barber | Counselor | 2810 Saint Croix Ave, Lancaster, TX 75146 | 2014-11-10 |
| 1306276910 | Elisia Beck | Chore Provider | 585 Rolling Hills Pl., #321, Lancaster, TX 75146 | 2013-11-18 |
| 1639443146 | Angela D Nowell | Nurse Practitioner | 2700 West Pleasant Run Road, Suite 300, Lancaster, TX 75146 | 2012-03-01 |
| 1003196510 | Callie House | Residential Treatment Facility, Physical Disabilities | 913 Francis St., Lancaster, TX 75146 | 2011-08-29 |
| 1851602882 | Leo Davis | Dentist | 1370 W Beltline Rd, Ste 100, Lancaster, TX 75146 | 2010-06-24 |
| Find all providers in zip 75146 | ||||
| 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 |
|---|---|---|---|---|
| 1720463938 | Lancaster Medical Group, LLC | Pain Medicine | 233 College Ave Ste 101, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1508959230 | Piedmont Interventional Spine and Pain Center, LLC | Pain Medicine | 834 West Meeting St., Ste. A, Lancaster, SC 29720 | 2006-10-02 |
| 1902905581 | Sanjay G. Nandurkar | Pain Medicine | 834 W Meeting St., Ste. A, Lancaster, SC 29720-6251 | 2006-09-21 |
| 1699202671 | Lancaster General Hospital | Pain Medicine | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 | 2017-05-22 |
| 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.