Organization Active NPI

PLB United, PA

Doing business as Advocate Pain Management Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pasadena, TX
National Provider Identifier
1104001213
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
N6266 Issued in TX
Legal business name
PLB UNITED, PA
Doing business as
Advocate Pain Management Center
Practice address
923 Pasadena Fwy
Pasadena, TX 77506-1400
Phone
(713) 475-8686
Fax
(713) 475-8688
NPI assigned
Jan 8, 2008
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Allen R Dorsett, DONPI 1417144858
Title
Owner
Phone
(713) 475-8686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X N6266 TX Primary

Addresses

Primary practice location

923 Pasadena Fwy
Pasadena, TX 77506-1400

Mailing address

923 Pasadena Fwy
Pasadena, TX 77506-1400
Phone (713) 475-8686

Other identifiers 2

IdentifierTypeStateIssuer
18036601MedicaidTX
0075CNOtherTXBCBS TX

Other names 1

  • Advocate Pain Management Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060322000225 TX Part B Supplier - Clinic/Group Practice 6406864107 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Houston, TX; Pasadena, TX
O20100930030314 TX DME Supplier - Physician - Interventional Pain Management 6406864107 Practice locations: Houston, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Advocate Pain Management Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1104001213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 PASADENA FWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775061400",
            "telephone_number": "713-475-8686",
            "fax_number": "713-475-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 PASADENA FWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775061400",
            "telephone_number": "713-475-8686",
            "fax_number": "713-475-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLB UNITED, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "DORSETT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-475-8686",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "N6266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18036601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0075CN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocate Pain Management Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.