Active NPI
Coda Pain PLLC
- Pain Medicine (Anesthesiology) Physician
- Midland, TX
National Provider Identifier
1225663131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- CODA PAIN PLLC
- Practice address
- 4200 Andrews Hwy
Midland, TX 79703-4822 - Phone
- (512) 993-0635
- NPI assigned
- Mar 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerome R Doyen, MD
- Title
- Partner
- Phone
- (512) 993-0635
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
4200 Andrews Hwy
Midland, TX 79703-4822
Mailing address
11703 E Rocky Creek Rd
Crowley, TX 76036-2083
Phone (512) 993-0635
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583884800000",
"number": "1225663131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11703 E ROCKY CREEK RD",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760362083",
"telephone_number": "512-993-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 ANDREWS HWY",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797034822",
"telephone_number": "512-993-0635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CODA PAIN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A",
"authorized_official_last_name": "DOYEN",
"authorized_official_first_name": "JEROME",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "512-993-0635",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.