Organization Active NPI

Advanced Invasive Pain Management of Houston PA

  • Preferred Provider Organization
  • Friendswood, TX
National Provider Identifier
1285669812
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA
Practice address
308 W Parkwood Ave
Ste 106
Friendswood, TX 77546-5478
Phone
(713) 943-7246
Fax
(713) 943-0167
NPI assigned
Jul 12, 2006
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mr. Jerry May Keepers, M.D.NPI 1568497139
Title
President
Phone
(713) 943-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

308 W Parkwood Ave
Ste 106
Friendswood, TX 77546-5478

Mailing address

PO Box 5807
Kingwood, TX 77325-5807
Phone (713) 943-7246

Other identifiers 5

IdentifierTypeStateIssuer
CD8579OtherTXPALMETTO GBA
10023613OtherTXAMERIGROUP STAR PLUS
177211301MedicaidTX
26JSOtherTXBLUE CROSS BLUE SHIELD
352434000OtherTXUS DEPARTMENT OF LABOR

National Provider Directory

National Provider Directory

Locations

755 S 11th St
Ste 219
Beaumont, TX 77701
Phone (409) 835-4400

Practitioners & 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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1285669812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5807",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773255807",
            "telephone_number": "713-943-7246",
            "fax_number": "713-943-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W PARKWOOD AVE",
            "address_2": "STE 106",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465478",
            "telephone_number": "713-943-7246",
            "fax_number": "713-943-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "KEEPERS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-943-7246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CD8579",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP STAR PLUS",
            "identifier": "10023613",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177211301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26JS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "352434000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.