Golden Triangle Interventional Pain Associates LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

GOLDEN TRIANGLE INTERVENTIONAL PAIN ASSOCIATES LLC

Practice address

6025 Metropolitan Dr Ste 290
Beaumont, TX 77706-2409

Phone

(409) 554-0545

Fax

(409) 554-0921

NPI assigned

Nov 8, 2016

Last updated

Jun 4, 2024By 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

Craig Charleston, M.D.NPI 1952386435

Title

Owner

Phone

(409) 554-0545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

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.

• Craig A Charleston, MD

  • Interventional Pain Medicine Physician
  • Beaumont, TX
  • NPI 1952386435
  Medicare reassignment NPD Authorized official
• Amy Featherston, NP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1124412341
  Medicare reassignment NPD
• Megan Kandis Sartin, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1164860011
  Medicare reassignment NPD
• Brittany Syphrett, RN, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1235676487
  Medicare reassignment NPD
• Precious Tabansi, MD

  • Pain Medicine (Anesthesiology) Physician
  • Jersey Village, TX
  • NPI 1154813632
  Medicare reassignment NPD
• Andrew Bruyn, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Buda, TX
  • NPI 1538574173
  NPD
• Jennifer Laborde, MSN APRN FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1184984130
  NPD

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1386186369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DR STE 290",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062409",
            "telephone_number": "409-554-0545",
            "fax_number": "409-554-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DR STE 290",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062409",
            "telephone_number": "409-554-0545",
            "fax_number": "409-554-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE INTERVENTIONAL PAIN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "CHARLESTON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-554-0545",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.