S E TEXAS PAIN MANAGEMENT PLLC (NPI# 1760952022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760952022 |
| Entity Type | Organization |
| Organization Name | S E TEXAS PAIN MANAGEMENT PLLC |
| Practice Address |
755 N 11th St Ste P2280 Beaumont TX 77702-1525 |
| Mailing Address |
Po Box 5827 Beaumont TX 77726-5827 |
| Practice Telephone | 4098350348 |
| Practice Fax Number | 4098922760 |
| Mailing Telephone | 4098350348 |
| Mailing Fax Number | 4098922760 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Authorized Official Name | REBECCA ARDIS (MANAGER) |
| Authorized Official Telephone | 4098385214 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
755 N 11TH ST STE P2280 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186610 | Timothy Kelly Colgan | Internal Medicine | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2005-07-07 |
| 1821649872 | Lindsay Kay Nagel | Registered Nurse | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2019-09-21 |
| 1104128743 | Lakes Area Pain and Rehab Pllc | Pain Medicine | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2010-12-02 |
| 1689824864 | Janet L Warner | Nurse Practitioner | 755 N 11th St Ste P2280, Coastal Pain Care, Beaumont, TX 77702-1525 | 2008-09-24 |
| 1437347614 | Timothy K. Colgan Md Pa | Internal Medicine | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| 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 |
|---|---|---|---|---|
| 1972757706 | Pasadena Pain Management Consultants, Pa. | Anesthesiology | 155 Ih 10 N Ste 1, Beaumont, TX 77707-2550 | 2008-11-06 |
| 1386186369 | Golden Triangle Interventional Pain Associates LLC | Anesthesiology | 87 Interstate 10 N, Suite 221, Beaumont, TX 77707-2544 | 2016-11-08 |
| 1720324809 | Universal Pain Management, Pllc | Anesthesiology | 755 N 11th St, Suite P2280, Beaumont, TX 77702-1500 | 2012-12-18 |
| 1477836260 | Anesthesia Associates Pain Institute Pllc | Anesthesiology | 740 Hospital Dr, Suite 150, Beaumont, TX 77701-4664 | 2011-09-28 |
| 1295926475 | Sassan Cyrus Ehdaie | Anesthesiology | 755 N 11th St, Suite P2280, Beaumont, TX 77702-1500 | 2007-08-05 |
| 1942332242 | Daniel Lee Harris | Anesthesiology | 755 N 11th St, Suite P5600, Beaumont, TX 77702-1517 | 2007-03-12 |
| 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 |
| 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.