Southeast Texas Institute of Pain Managementp.a

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SOUTHEAST TEXAS INSTITUTE OF PAIN MANAGEMENTP.A

Practice address

2802 Garth Rd Ste 109
Baytown, TX 77521-3924

Phone

(281) 422-5500

Fax

(281) 422-5560

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ghyasuddin Syed, MD

Title

Director

Phone

(281) 422-5500

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1043313315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 COMAL PARK CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77059",
            "telephone_number": "713-240-3685",
            "fax_number": "281-422-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 GARTH RD STE 109",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213924",
            "telephone_number": "281-422-5500",
            "fax_number": "281-422-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS INSTITUTE OF PAIN MANAGEMENTP.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "GHYASUDDIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-422-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160479501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043313315",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0087KB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Snider
• Simeon Soname, RPH
• Maria De Jesus Sosa
• Sound Inpatient Physicians of Texas I, Inc (Sound Physicians of Texas)
• Candace Southall, LPC
• Southern Pain Institute (Texas Pain Institute)
• Southwest Diagnostics
• Southwest Orthopedic Group, LLP
• Modupe Olatokunbo Soyombo, PHARM D
• Special Texas Home Inc (Burning Tree Living Center)

• Pain Medicine (Anesthesiology) Physician in Baytown, TX
• Providers in Baytown, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.