Premiere Pain Specialists LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PREMIERE PAIN SPECIALISTS LLC

Practice address

12309 N Mopac Expy Ste 125
Austin, TX 78758-2577

Phone

(512) 206-8000

NPI assigned

Feb 1, 2019

Organization subpart

No

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

Authorized official

Name

Kristyn Billings

Title

Insurance Dept

Phone

(412) 655-4362

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583625600000",
    "number": "1013472265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 N MOPAC EXPY STE 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582577",
            "telephone_number": "512-206-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 N MOPAC EXPY STE 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582577",
            "telephone_number": "512-206-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A",
        "authorized_official_last_name": "BILLINGS",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "INSURANCE DEPT",
        "authorized_official_telephone_number": "412-655-4362"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "M3402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Gynecology of Austin
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• Premise Health of Texas Medical PA
• Premise Health of Texas Medical PA
• Premise Health of Texas Medical PA
• Premise Health of Texas Medical PA
• Premise Health of Texas Medical PA

• Interventional Pain Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; 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.