Lone Star Pain Institute

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

LONE STAR PAIN INSTITUTE

Practice address

907 East Eureka Street
Suite B
Weatherford, TX 76086-5866

Phone

(817) 599-4901

Fax

(817) 599-4902

NPI assigned

Sep 20, 2005

Last updated

Nov 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chris Otte

Title

Business Director

Phone

(817) 599-4901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Practitioners 6

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.

• Michael Joe Balderamos, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Weatherford, TX
  • NPI 1821355868
  Medicare reassignment Care Compare group
• Stacy Carr, PAC

  • Medical Physician Assistant
  • Weatherford, TX
  • NPI 1609933985
  Medicare reassignment Care Compare group
• Jon Paul Harmer, M.D.

  • Anesthesiology Physician
  • Weatherford, TX
  • NPI 1568422269
  Medicare reassignment Care Compare group
• Timothy Edgar Marcyes, P.A.

  • Physician Assistant
  • Tyler, TX
  • NPI 1568550887
  Medicare reassignment Care Compare group
• Sherryl L Corder, RN, BSN

  • Specialist
  • Weatherford, TX
  • NPI 1619049483

  Single Specialty

  NPD (past)
• Taylor J Johnsen, PA-C

  • Physician Assistant
  • Keller, TX
  • NPI 1225521057
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1346235967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 EAST EUREKA STREET",
            "address_2": "SUITE B",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-599-4901",
            "fax_number": "817-599-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 EAST EUREKA STREET",
            "address_2": "SUITE B",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865866",
            "telephone_number": "817-599-4901",
            "fax_number": "817-599-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "OTTE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "817-599-4901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waymon Edward Lewis Jr., DPM
• LHCB PLLC (Weatherford Pediatric Dental Associates)
• Alex Jen Hao Lin, DO
• Charity Dawn Livesay
• LJ Haynes Company (Haynes Physical Therapy)
• Lone Star Pain Medicine PLLC (Town Creek Pharmacy)
• Lonestar Surgical Professionals LLC
• Cheyenne Lopez, RBT
• Skyler Saige Lott
• Virginia Lott

• Interventional Pain Medicine Physician in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.