Excelsior Pain Management PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

Q8036 Issued in TX

Legal business name

EXCELSIOR PAIN MANAGEMENT PLLC

Doing business as

Excelsior Pain Management

Practice address

1600 W 38TH St
Austin, TX 78731

Phone

(512) 963-6566

NPI assigned

Aug 27, 2018

Last updated

Sep 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Weilon Chin, MDNPI 1306131966

Title

Physician/Founder

Phone

(512) 846-3100

Specialties & licenses 1

Addresses

Other names 1

• Excelsior Pain Management Doing business as

Locations

Practitioners 1

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.

• Jonathan Weilon Chin, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Austin, TX
  • NPI 1306131966
  Authorized official Same address or phone

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537574400000",
    "number": "1114408242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316400",
            "telephone_number": "512-846-3100",
            "fax_number": "512-846-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-963-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-09-22",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "WEILON",
        "authorized_official_title_or_position": "PHYSICIAN/FOUNDER",
        "authorized_official_telephone_number": "512-846-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q8036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excelsior Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Medicine (Anesthesiology) Physician in Austin, TX
• Providers in Austin, 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 Sep 22, 2018; 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.