Carefirst Medical Associates and Pain Rehabilitation, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA

Practice address

13027 State Highway 155 S
Tyler, TX 75703-6548

Phone

(903) 839-1000

Fax

(903) 839-4000

NPI assigned

Jun 24, 2006

Last updated

Aug 16, 2016By 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

Randall W Rodgers, D.O.NPI 1104852888

Title

Physician-President

Phone

(903) 839-1000

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Carefirst Medical Associates and Pain Rehabilitation, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Worth, TX
  • NPI 1780817866

  O20060504000838

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Carefirst Medical Associates and Pain Rehabilitation, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Worth, TX
  • NPI 1780817866
  NPPES parent name

Practitioners 4

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.

• Randall W Rodgers, D.O.

  • Interventional Pain Medicine Physician
  • Tyler, TX
  • NPI 1104852888

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Robert Fenton, FNP-C

  • Nurse Practitioner
  • Tyler, TX
  • NPI 1124491808
  Medicare reassignment Care Compare group NPD
• Sally Jean Flores, APRN-CNP

  • Adult Health Nurse Practitioner
  • Bullard, TX
  • NPI 1114898889
  Medicare reassignment Care Compare group
• Chelsie Lee Flores, D.C.

  • Chiropractor
  • Whitehouse, TX
  • NPI 1770873283
  NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1114953767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13027 STATE HIGHWAY 155 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036548",
            "telephone_number": "903-839-1000",
            "fax_number": "903-839-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13027 STATE HIGHWAY 155 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036548",
            "telephone_number": "903-839-1000",
            "fax_number": "903-839-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN-PRESIDENT",
        "authorized_official_telephone_number": "903-839-1000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF1536",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0076NH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "1114953767",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiac Cath Lab of Tyler LP (Tyler Cardiac & Endovascular Center)
• Andria Beth Cardinalli-Stein, M.D.
• Cardiopulmonary Services, Inc (CPS Medical)
• Cardiovascular Associates of East Texas PA
• Care First Pharmacy, LLC (Smart Rx Pharmacy 20001)
• Carey Prosperie Pharmacy Inc (Medicine Shoppe)
• Leann M Cargile, OTR
• Kylie B Carimi, APRN, FNP-C
• Caring Hands Ppecc of Texas, LLC.
• Carl U Westbrook, II, MD, PA

• Family Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.