Synovation Medical Group Texas, PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SYNOVATION MEDICAL GROUP TEXAS, PLLC

Practice address

11799 Beechnut St Ste a
Houston, TX 77072-4116

Phone

(281) 575-7246

Fax

(281) 575-7248

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Clayton Alexander Varga, MDNPI 1629060694

Title

President

Phone

(626) 696-1400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Synovation Medical Group Texas, PLLC

  • Pain Medicine Physician
  • Wichita Falls, TX
  • NPI 1104490671

  O20201222002532

  Same enrollment
• Synovation Medical Group Texas, PLLC

  • Pain Medicine Physician
  • Austin, TX
  • NPI 1376145458

  O20201222002532

  Same enrollment

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clayton Alexander Varga, MD

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
  • NPI 1629060694
  NPD (past) Authorized official
• Shynesta Reed, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Wichita Falls, TX
  • NPI 1508350612
  NPD
• Chase Douglas Rose, MD

  • Pain Medicine Physician
  • Wichita Falls, TX
  • NPI 1467940288
  NPD
• Reed Loring Levine, M.D

  • Pain Medicine Physician
  • Pasadena, CA
  • NPI 1386844868
  NPD
• Marc E. Lynch, D.O.

  • Interventional Pain Medicine Physician
  • Chino, CA
  • NPI 1760488621
  NPD

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1386218857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N FAIR OAKS AVE STE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033618",
            "telephone_number": "626-696-1481",
            "fax_number": "626-696-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11799 BEECHNUT ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770724116",
            "telephone_number": "281-575-7246",
            "fax_number": "281-575-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNOVATION MEDICAL GROUP TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-696-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Syntherapy Clinic PLCC
• Synthesis Dental Group PLLC
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• Kara Gleason Syrek, MS, OTR/L

• Pain Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.