Organization Active NPI

Total Pain Medicine

  • Pain Medicine (Anesthesiology) Physician
  • Hurst, TX
National Provider Identifier
1255708582
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
J6944 Issued in TX
Legal business name
TOTAL PAIN MEDICINE
Practice address
729 W Bedford Euless Rd Ste 111
Hurst, TX 76053-3971
Phone
(817) 868-1109
NPI assigned
Aug 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
George Farhat, MDNPI 1942205067
Title
Physician
Phone
(817) 868-1109

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X J6944 TX Primary

Addresses

Primary practice location

729 W Bedford Euless Rd Ste 111
Hurst, TX 76053-3971

Mailing address

PO Box 2047
Colleyville, TX 76034-2047
Phone (817) 868-1109

Other identifiers 1

IdentifierTypeStateIssuer
8937K1OtherTXPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151002000512 TX Part B Supplier - Clinic/Group Practice 7416265996 Receives reassigned benefits from 1 practitioner
Practice locations: Hurst, TX

National Provider Directory

National Provider Directory

Locations

729 W Bedford Euless Rd
Ste 111
Hurst, TX 76053
Phone (817) 868-1109

Practitioners & affiliated clinicians

Practitioners 2

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": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1255708582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2047",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342047",
            "telephone_number": "817-868-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W BEDFORD EULESS RD STE 111",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533971",
            "telephone_number": "817-868-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL PAIN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "FARHAT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-868-1109",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J6944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "8937K1",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.