NPIMap

Organization Active NPI

Omni Spine Pain Management, PLLC

  • Interventional Pain Medicine Physician
  • Frisco, TX
National Provider Identifier
1174903975
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
N1784 Issued in TX
Legal business name
OMNI SPINE PAIN MANAGEMENT, PLLC
Practice address
8380 Warren Pkwy Ste 100
Frisco, TX 75034-4199
Phone
(214) 705-1200
Fax
(214) 705-1201
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Dr. Andrew Henry Morchower, M.DNPI 1437359213
Title
Owner
Phone
(214) 705-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X N1784 TX Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

8380 Warren Pkwy Ste 100
Frisco, TX 75034-4199

Mailing address

8380 Warren Pkwy Ste 100
Frisco, TX 75034-4199
Phone (214) 705-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150902001533 TX Part B Supplier - Clinic/Group Practice 8426364688 Receives reassigned benefits from 7 practitioners
Practice locations: Frisco, TX; Sunnyvale, TX
O20160928002003 TX DME Supplier - Physician - Interventional Pain Management 8426364688 Practice locations: Frisco, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2104448Omni Spine Pain Management, PLLC8380 Warren Pkwy Suite 100, Frisco, TX 75034RegistrationMar 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Omni Spine Pain MGMT PLLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

270 S Collins Rd
Ste 200
Sunnyvale, TX 75182
Phone (214) 705-1200

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1174903975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344199",
            "telephone_number": "214-705-1200",
            "fax_number": "214-705-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344199",
            "telephone_number": "214-705-1200",
            "fax_number": "214-705-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI SPINE PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "MORCHOWER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-705-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "N1784",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.