NPIMap

Organization Active NPI

Ajk Medical Services

Doing business as WellSpring Pain Center

  • Pain Medicine Physician
  • Dallas, TX
National Provider Identifier
1215208905
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
K8265 Issued in TX
Legal business name
AJK MEDICAL SERVICES
Doing business as
WellSpring Pain Center
Practice address
6750 Hillcrest Plaza Dr
Suite 215
Dallas, TX 75230-1400
Phone
(972) 690-0550
Fax
(972) 690-3306
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Dr. Andrew Michael Klymiuk, M.D.
Title
Owner
Phone
(972) 690-0550

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X K8265 TX
Addiction Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0802X K8265 TX
Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0000X K8265 TX Primary

Addresses

Primary practice location

6750 Hillcrest Plaza Dr
Suite 215
Dallas, TX 75230-1400

Mailing address

6750 Hillcrest Plaza Dr
Suite 215
Dallas, TX 75230-1400
Phone (972) 690-0550

Other identifiers 1

IdentifierTypeStateIssuer
1326264037OtherTXNPI

Other names 1

  • WellSpring Pain Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ajk Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1215208905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 HILLCREST PLAZA DR",
            "address_2": "SUITE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301400",
            "telephone_number": "972-690-0550",
            "fax_number": "972-690-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 HILLCREST PLAZA DR",
            "address_2": "SUITE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301400",
            "telephone_number": "972-690-0550",
            "fax_number": "972-690-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJK MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "KLYMIUK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-690-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K8265",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TX",
            "license": "K8265",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "K8265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326264037",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpring Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.