Ispine Sports Medicine and Pain Management, PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

M8869 Issued in TX

Legal business name

ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT, PA

Practice address

2220 Canton St
Suite 211
Dallas, TX 75201-5923

Phone

(214) 403-8402

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Reginald James Newsome, MD

Title

Ceo

Phone

(832) 969-2784

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ispine (Primetime Rehabilitation and Performance Division)

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Carrollton, TX
  • NPI 1245649557
  NPPES parent name

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1215354972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CANTON ST",
            "address_2": "SUITE 211",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752015923",
            "telephone_number": "214-403-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 CANTON ST",
            "address_2": "SUITE 211",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752015923",
            "telephone_number": "214-403-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-969-2784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M8869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ammar Qadir Ismail, AA
• Isoberry Homehealth Care Services, LLC
• Ginger Isom-Batz, M.D.
• Khriste Renee Isom, OTR
• Isp Health PLLC
• Aimee Israel
• Donna Alexander Israel, PHD, RD, LPC
• Karen Ray Israel, M.ED, LPC, BCPC
• Tab'Itha Baht Israel, LM, CPM
• Sharifah Issa Eid, DDS

• Pain Medicine (Anesthesiology) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.