NPIMap

Organization Active NPI

Kaufman Orthopedic Pain Management, PLLC

  • Interventional Pain Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1013300862
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
KAUFMAN ORTHOPEDIC PAIN MANAGEMENT, PLLC
Practice address
4000 Old Jacksboro Hwy
Wichita Falls, TX 76302-2134
Phone
(940) 500-4048
Fax
(833) 320-1559
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Theodoor Christiaan Hanche
Title
President
Phone
(214) 205-4655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

4000 Old Jacksboro Hwy
Wichita Falls, TX 76302-2134

Mailing address

4000 Old Jacksboro Hwy
Wichita Falls, TX 76302-2134
Phone (940) 500-4048

Other practice location 1

108 E US Highway 80 Ste 150
Forney, TX 75126-8703
Phone (918) 520-5312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150515001916 TX Part B Supplier - Clinic/Group Practice 6507186400 Receives reassigned benefits from 16 practitioners
Practice locations: Forney, TX; Wichita Falls, TX

National Provider Directory

National Provider Directory

Locations

108 E US Highway 80
Ste 150
Forney, TX 75126
Phone (972) 564-4444

1317 East St
Graham, TX 76450
Phone (940) 231-8306

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1013300862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLD JACKSBORO HWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022134",
            "telephone_number": "940-500-4048",
            "fax_number": "833-320-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD JACKSBORO HWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022134",
            "telephone_number": "940-500-4048",
            "fax_number": "833-320-1559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 E US Highway 80 Ste 150",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751268703",
            "country_code": "US",
            "telephone_number": "918-520-5312",
            "fax_number": "833-320-1559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAUFMAN ORTHOPEDIC PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "HANCHE",
        "authorized_official_first_name": "THEODOOR",
        "authorized_official_middle_name": "CHRISTIAAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-205-4655"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.