Organization Active NPI

Total Pain Medicine & Anesthesiology PA

  • Pain Medicine (Anesthesiology) Physician
  • Hurst, TX
National Provider Identifier
1003811852
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
NOT APPLICABLE Issued in TX
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

Updated by the provider on Jul 27, 2010

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
081360201MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.