Pineywoods Pain Associates, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PINEYWOODS PAIN ASSOCIATES, PLLC

Practice address

1201 W Frank Ave
Anesthesia Department
Lufkin, TX 75904-3357

Phone

(936) 639-3036

NPI assigned

Sep 8, 2017

Organization subpart

No

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

Authorized official

Name

Stephen Dale Harris, MD

Title

Member

Phone

(936) 559-3783

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1144748286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155721",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759155721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-639-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEYWOODS PAIN ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "936-559-3783",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piney Woods Healthcare System LP
• Piney Woods Healthcare System LP
• Piney Woods Healthcare System, L.P.
• Pineywood Physicians PLLC
• Pineywoods Community Academy
• Pineywoods Pathology PA
• Kavitha Pinnamaneni, M.D.
• Pramod Pinnamaneni, M.D.
• Katie Arlene Pivonka, LPC
• Kenneth Ray Placke, LCSW

• All providers in Lufkin, TX
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.