Organization Active NPI

Selective Pain Management of Houston, P.a.

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1215080585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SELECTIVE PAIN MANAGEMENT OF HOUSTON, P.A.
Practice address
9180 Old Katy Rd
Suite 202
Houston, TX 77055-7454
Phone
(713) 647-7700
Fax
(713) 647-8090
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerry Keepers, M.D.NPI 1568497139
Title
Manager
Phone
(713) 943-7246

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

9180 Old Katy Rd
Suite 202
Houston, TX 77055-7454

Mailing address

8866 Gulf Fwy
Suite 500
Houston, TX 77017-6514
Phone (713) 943-7246

National Provider Directory

National Provider Directory
Tax ID family
Selective Pain Management of Houston PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215080585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8866 GULF FWY",
            "address_2": "SUITE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770176514",
            "telephone_number": "713-943-7246",
            "fax_number": "713-943-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 OLD KATY RD",
            "address_2": "SUITE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557454",
            "telephone_number": "713-647-7700",
            "fax_number": "713-647-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTIVE PAIN MANAGEMENT OF HOUSTON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEEPERS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-943-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.