NPIMap

Organization Active NPI

Midtown Interventional Pain Center LLD

  • Pain Clinic/Center
  • Austin, TX
National Provider Identifier
1346519212
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
MIDTOWN INTERVENTIONAL PAIN CENTER LLD
Practice address
911 W Anderson LN
Ste 104
Austin, TX 78757-1501
Phone
(512) 467-1100
Fax
(512) 647-1101
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Ted Grosbeck
Title
Manager
Phone
(469) 362-6909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

911 W Anderson LN
Ste 104
Austin, TX 78757-1501

Mailing address

PO Box 674231
Dallas, TX 75267-4231
Phone (972) 479-1115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1346519212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674231",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674231",
            "telephone_number": "972-479-1115",
            "fax_number": "972-346-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W ANDERSON LN",
            "address_2": "STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571501",
            "telephone_number": "512-467-1100",
            "fax_number": "512-647-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN INTERVENTIONAL PAIN CENTER LLD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "GROSBECK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-362-6909"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.