GRAPEVINE PAIN MANAGEMENT, LLC (NPI# 1558505909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558505909 |
| Entity Type | Organization |
| Organization Name | GRAPEVINE PAIN MANAGEMENT, LLC |
| Practice Address |
2401 Ira E Woods Ave Suite 700 Grapevine TX 76051-3997 |
| Mailing Address |
5750 Rufe Snow Dr Suite 108 North Richland Hills TX 76180-6163 |
| Practice Telephone | 8174889991 |
| Practice Fax Number | 8174889992 |
| Mailing Telephone | 8174790800 |
| Mailing Fax Number | 8174790801 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | MR. GAIL S MAYFIELD (PRESIDENT/CEO) |
| Authorized Official Telephone | 8174790800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
2401 IRA E WOODS AVE SUITE 700 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-3997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306853692 | Hill D. Flora | Chiropractor | 2401 Ira E Woods Ave, Suite 200, Grapevine, TX 76051-3997 | 2006-08-01 |
| 1053762070 | Ronald G Kimmel | Nurse Practitioner | 2401 Ira E Woods Ave, Ste. 600, Grapevine, TX 76051-3997 | 2016-06-30 |
| 1871947689 | Allyson Hunter | Physical Therapist | 2401 Ira E Woods Ave, Suite 100, Grapevine, TX 76051-3997 | 2016-04-18 |
| 1881884443 | Tamera D Smith | Speech-Language Pathologist | 2401 Ira E Woods Ave, Grapevine, TX 76051-3997 | 2007-07-30 |
| 1881750461 | Pediatric Theraplay Inc | Occupational Therapist | 2401 Ira E Woods Ave, Suite 300, Grapevine, TX 76051-3997 | 2006-12-28 |
| 1184786311 | Metropolitian Pain Center, LLC | Clinic/Center | 2401 Ira E Woods Ave, Ste 600, Grapevine, TX 76051-3997 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578948386 | Eclipse Medical Management LLC | Clinic/Center | 2401 Ira E Woods Ave Ste 600, Grapevine, TX 76051-8631 | 2015-07-22 |
| 1598006801 | Baylor Regional Medical Center At Grapevine | Clinic/Center | 2020 W St Hwy 114, Suite 100, Grapevine, TX 76051-8649 | 2013-03-12 |
| 1962779371 | North Star Mcd, LLC | Clinic/Center | 2535 Ira E Woods Ave Ste 101, Grapevine, TX 76051-3930 | 2011-11-30 |
| 1922512664 | North Star Gv, Lp | Clinic/Center | 2535 Ira E Woods Ave Ste 101, Grapevine, TX 76051-3930 | 2017-11-16 |
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| 1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
| 1669093779 | Hi Tech Imaging, LLC | Clinic/Center | 423 Sw Military Dr, San Antonio, TX 78221-1654 | 2020-04-29 |
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
| 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.