Pain Associates of Longview PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

M4849 Issued in TX

Legal business name

PAIN ASSOCIATES OF LONGVIEW PLLC

Practice address

438 N Fredonia St
Longview, TX 75601-6468

Phone

(903) 331-0506

Fax

(903) 331-0462

NPI assigned

Oct 28, 2014

Last updated

Oct 12, 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

Rajashekar R Lakkadi, M.D.NPI 1588669303

Title

Owner

Phone

(903) 331-0506

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Rajashekar Lakkadi, MD

  • Pain Medicine (Anesthesiology) Physician
  • Longview, TX
  • NPI 1588669303
  Authorized official Same address or phone
• Ivan N Pawlowicz, MD

  • Psychiatry Physician
  • Longview, TX
  • NPI 1386844736
  NPD (past)
• David Erin Wyatt, MD

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1285825471
  NPD (past)

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1164827507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2922",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062922",
            "telephone_number": "903-331-0506",
            "fax_number": "903-331-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 N FREDONIA ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016468",
            "telephone_number": "903-331-0506",
            "fax_number": "903-331-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN ASSOCIATES OF LONGVIEW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "LAKKADI",
        "authorized_official_first_name": "RAJASHEKAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-331-0506",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M4849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Overstreet-Lincoln
• Angela Oviedo
• Angela C Ozment, MD
• P & D Surgically Assist PLLC
• Pace Opportunity Centers, Inc.
• Pain Managment Joint Venture LLP (Centre Of Rehabilitation Excellence)
• Joshua Wayne Pair, M.ED., LCDC, SAP
• Pranayi Pala, DO
• Jordan Bailey Palmer, APRN-CNP
• Krystle Lashaun Paris, FNP

• Pain Medicine (Anesthesiology) Physician in Longview, TX
• Providers in Longview, 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 Oct 12, 2016; 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.