Synovation Medical Group Texas, PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SYNOVATION MEDICAL GROUP TEXAS, PLLC

Practice address

1518 10TH St
Wichita Falls, TX 76301-4405

Phone

(940) 253-7160

Fax

(833) 460-5681

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Clayton Alexander Varga, MD

Title

Manager-Member

Phone

(305) 428-7730

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• Synovation Medical Group Texas, PLLC

  • Pain Medicine Physician
  • Austin, TX
  • NPI 1376145458

  5597177287

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

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

• Synovation Medical Group Texas, PLLC

  • Pain Medicine Physician
  • Austin, TX
  • NPI 1376145458

  O20201222002532

  Same enrollment
• Synovation Medical Group Texas, PLLC

  • Pain Medicine Physician
  • Houston, TX
  • NPI 1386218857

  O20201222002532

  Same enrollment

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

CLIA laboratory certificates

Practitioners 7

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

• Shynesta Reed, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Wichita Falls, TX
  • NPI 1508350612
  NPD
• Chase Douglas Rose, MD

  • Pain Medicine Physician
  • Wichita Falls, TX
  • NPI 1467940288
  NPD
• Susan Amanda Font, PA-C

  • Physician Assistant
  • Fountain Valley, CA
  • NPI 1689857229
  NPD
• Reed Loring Levine, M.D

  • Pain Medicine Physician
  • Pasadena, CA
  • NPI 1386844868
  NPD
• Marc E. Lynch, D.O.

  • Interventional Pain Medicine Physician
  • Chino, CA
  • NPI 1760488621
  NPD
• Abhishek Patel, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Austin, TX
  • NPI 1780944918
  NPD (past)
• Manjunath Mohan Shetty, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
  • NPI 1740476035
  NPD (past)

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1104490671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR BLDG STE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303853",
            "telephone_number": "626-696-1481",
            "fax_number": "626-696-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014405",
            "telephone_number": "940-253-7160",
            "fax_number": "833-460-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNOVATION MEDICAL GROUP TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGER-MEMBER",
        "authorized_official_telephone_number": "305-428-7730",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jesika Sweet, PMHNP-BC
• Alicia Swindler
• Walter Wayne Swinhoe, LMFT
• Zahida Syed, MD
• Arthur Jack Szczerba, M.D.
• T & W Pharmacy Inc
• T D Ventures Inc.
• Ryan L Tacker, PT
• Anirudh Tadakamalla

• Pain Medicine Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.