Active NPI
Vigilant Imaging and Pain Suites, PA
- Radiology Clinic/Center
- Keller, TX
National Provider Identifier
1124551759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- M8869
- Legal business name
- VIGILANT IMAGING AND PAIN SUITES, PA
- Practice address
- 8865 Davis Blvd
Suite 100a
Keller, TX 76248-0322 - Phone
- (832) 969-2784
- Fax
- (469) 250-4880
- NPI assigned
- Apr 11, 2017
- Last updated
- Apr 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reginald James Newsome, MD
- Title
- Ceo
- Phone
- (832) 969-2784
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | M8869 | TX | Primary |
Addresses
Primary practice location
8865 Davis Blvd
Suite 100a
Keller, TX 76248-0322
Mailing address
2220 Canton St
Suite 211
Dallas, TX 75201-5923
Phone (832) 969-2784
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Anesthesiology Physician
- Pasadena, TX
- NPI 1912178773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491868800000",
"number": "1124551759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 CANTON ST",
"address_2": "SUITE 211",
"city": "DALLAS",
"state": "TX",
"postal_code": "752015923",
"telephone_number": "832-969-2784",
"fax_number": "469-250-4880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8865 DAVIS BLVD",
"address_2": "SUITE 100A",
"city": "KELLER",
"state": "TX",
"postal_code": "762480322",
"telephone_number": "832-969-2784",
"fax_number": "469-250-4880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIGILANT IMAGING AND PAIN SUITES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-11",
"last_updated": "2017-04-11",
"status": "A",
"authorized_official_last_name": "NEWSOME",
"authorized_official_first_name": "REGINALD",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "832-969-2784",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "TX",
"license": "M8869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.