Premier Pain Management Consultants, PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G1575 Issued in TX

Legal business name

PREMIER PAIN MANAGEMENT CONSULTANTS, PA

Practice address

305 Sandy Corner Rd
Suite # 220
El Campo, TX 77437-9535

Phone

(281) 265-0774

Fax

(281) 265-0774

NPI assigned

Jul 21, 2006

Last updated

Dec 27, 2012By 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

Dr. Pramodh K Wadera, M.D.,

Title

President

Phone

(281) 265-0774

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Nishani Chulani Gunasekera

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1295885770
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1205857802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16404",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774966404",
            "telephone_number": "281-265-0774",
            "fax_number": "281-265-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SANDY CORNER RD",
            "address_2": "SUITE # 220",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774379535",
            "telephone_number": "281-265-0774",
            "fax_number": "281-265-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN MANAGEMENT CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "WADERA",
        "authorized_official_first_name": "PRAMODH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-265-0774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "G1575",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "G1575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176808701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176808702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucas Murray Parsons, D.C.
• Patricia Simpson Davis, PLLC
• Pearl of the Prairie Medical Providers PLLC
• PHPM Mission Care Centers - New Covenant LP (Garden Villa Nursing Home)
• Shelby Polk
• Karissa Priesmeyer, APRN-CNP
• Judy Quintero
• Petrina Kay Rangnow
• Renal Treatment Centers-Southeast LP (El Campo Dialysis)
• Renew El Campo, PLLC

• Interventional Pain Medicine Physician in El Campo, TX
• Providers in El Campo, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.