Interventional Sports & Pain Management PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

L5859 Issued in TX

Legal business name

INTERVENTIONAL SPORTS & PAIN MANAGEMENT PLLC

Practice address

9802 FM 1960 Bypass Rd W
Suite 205
Humble, TX 77338-3501

Phone

(281) 570-2961

Fax

(281) 570-6527

NPI assigned

Jun 6, 2012

Organization subpart

No

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

Authorized official

Name

Okezie N Okezie, MDNPI 1851392823

Title

MD/Owner

Phone

(713) 875-0088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Okezie Ndubisi Okezie II, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baytown, TX
  • NPI 1851392823
  Medicare reassignment Care Compare group NPD Authorized official
• Jereme Sharif Palmer, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cypress, TX
  • NPI 1063975068

  Interventional Pain Medicine

  Medicare reassignment Care Compare group NPD
• Susan W Munga, MD

  • Pain Medicine (Anesthesiology) Physician
  • Conroe, TX
  • NPI 1194049874
  Medicare reassignment NPD
• Keerthi D Prasad, M.D.

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
  • NPI 1043518186
  Medicare reassignment NPD
• Stefan Vincent Franciosa, DO

  • Vascular & Interventional Radiology Physician
  • Delray Beach, FL
  • NPI 1295842300

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1104187061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 FM 1960 BYPASS RD W",
            "address_2": "SUITE 205",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383501",
            "telephone_number": "281-570-2961",
            "fax_number": "281-570-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 FM 1960 BYPASS RD W",
            "address_2": "SUITE 205",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383501",
            "telephone_number": "281-570-2961",
            "fax_number": "281-570-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SPORTS & PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "OKEZIE",
        "authorized_official_first_name": "OKEZIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "713-875-0088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L5859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Humble, TX
• Providers in Humble, 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 Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.