Organization Active NPI

Shtaim MD Services PLLC

  • Interventional Pain Medicine Physician
  • Coppell, TX
National Provider Identifier
1225785264
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SHTAIM MD SERVICES PLLC
Practice address
920 S Belt Line Rd Ste 250
Coppell, TX 75019-4884
Phone
(214) 390-7697
Fax
(972) 432-6692
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Dr. Andrew Morchower
Title
Admin
Phone
(214) 390-7697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

920 S Belt Line Rd Ste 250
Coppell, TX 75019-4884

Mailing address

3004 Communications Pkwy Ste 200-293
Plano, TX 75093-8909
Phone (214) 390-7697

National Provider Directory

National Provider Directory

Locations

960 Ridgeview Dr
Ste 140293
Allen, TX 75013

3004 Communications Pkwy
Ste 200293
Plano, TX 75093

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1225785264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 COMMUNICATIONS PKWY STE 200-293",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938909",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S BELT LINE RD STE 250",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194884",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHTAIM MD SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "MORCHOWER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-390-7697",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.