Foundation Pain and Spine PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

FOUNDATION PAIN AND SPINE PLLC

Practice address

8390 Lyndon B Johnson Fwy Ste 500
Dallas, TX 75243-1188

Phone

(469) 909-1312

NPI assigned

Mar 28, 2020

Organization subpart

No

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

Authorized official

Name

Justin ThompsonNPI 1275851719

Title

Practice Manager

Phone

(817) 739-0433

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECCCCD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin H. Thompson, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Dallas, TX
  • NPI 1275851719
  Medicare reassignment Care Compare group NPD Authorized official
• Kaitlin Janann Blalock, NP

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1841870649
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1174151997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 LYNDON B JOHNSON FWY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 LYNDON B JOHNSON FWY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431188",
            "telephone_number": "469-909-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION PAIN AND SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-28",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "817-739-0433"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://athenanet.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8390 Lyndon B Johnson Fwy Ste 500",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752431188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://athenanet.athenahealth.com",
            "affiliation": "N",
            "address_1": "8390 Lyndon B Johnson Fwy Ste 500",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752431188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen G Foster, PA-C
• Steven Victor Foster, MD
• Tabitha Fay Foster, M.D.
• Maggie Foti, CPNP-AC
• Foundation Anesthesia, PLLC
• Foundation Physicians Group, Inc
• Foundationplus
• Founders Healthcare, LLC
• Cynthia Lynette Fountain, SLP
• Joshua Dean Fountain, DDS

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.