Active NPI
Total Pain Medicine & Anesthesiology PA
- Pain Medicine (Anesthesiology) Physician
- Hurst, TX
National Provider Identifier
1003811852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- NOT APPLICABLE
- Legal business name
- TOTAL PAIN MEDICINE & ANESTHESIOLOGY PA
- Practice address
- 729 West Bedford-Euless Road
Suite 111
Hurst, TX 76053 - Phone
- (817) 868-1109
- Fax
- (817) 545-8266
- NPI assigned
- Jun 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Ann Kaesberger
- Title
- Practice Manager
- Phone
- (817) 868-1109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NOT APPLICABLE | TX | Primary |
Addresses
Primary practice location
729 West Bedford-Euless Road
Suite 111
Hurst, TX 76053
Mailing address
PO Box 780
Colleyville, TX 76034
Phone (817) 868-1109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081360201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1305 Airport Fwy
Ste 202
Bedford, TX 76021
Phone (817) 571-2288
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Anesthesiology) Physician
- Hurst, TX
- NPI 1073518833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280188800000",
"number": "1003811852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "76034",
"telephone_number": "817-868-1109",
"fax_number": "817-545-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 WEST BEDFORD-EULESS ROAD",
"address_2": "SUITE 111",
"city": "HURST",
"state": "TX",
"postal_code": "76053",
"telephone_number": "817-868-1109",
"fax_number": "817-545-8266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL PAIN MEDICINE & ANESTHESIOLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-17",
"last_updated": "2010-07-27",
"status": "A",
"authorized_official_last_name": "KAESBERGER",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "817-868-1109"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "NOT APPLICABLE",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081360201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.