Organization Active NPI

Center for Spine Sports and Physical Medicine P.a.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • The Woodlands, TX
National Provider Identifier
1407947146
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
K7182 Issued in TX
Legal business name
CENTER FOR SPINE SPORTS AND PHYSICAL MEDICINE P.A.
Practice address
25216 Grogans Park Dr
The Woodlands, TX 77380-2175
Phone
(281) 357-5454
Fax
(281) 357-5499
NPI assigned
Sep 27, 2006
Last updated
Jun 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Dr. Shaun D Lehmann, M.D.NPI 1306892203
Title
Owner
Phone
(281) 357-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X K7182 TX Primary

Addresses

Primary practice location

25216 Grogans Park Dr
The Woodlands, TX 77380-2175

Mailing address

PO Box 1567
Tomball, TX 77377-1567
Phone (281) 357-5454

Other identifiers 1

IdentifierTypeStateIssuer
159109102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618001293 TX Part B Supplier - Clinic/Group Practice 5294710810 Receives reassigned benefits from 3 practitioners
Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

25216 Grogans Park Dr
The Woodlands, TX 77380
Phone (281) 357-5454

25216 Grogans Park Dr
#A
The Woodlands, TX 77380
Phone (281) 357-5454

Practitioners & affiliated clinicians

Practitioners 11

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1407947146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773771567",
            "telephone_number": "281-357-5454",
            "fax_number": "281-357-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25216 GROGANS PARK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802175",
            "telephone_number": "281-357-5454",
            "fax_number": "281-357-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPINE SPORTS AND PHYSICAL MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "LEHMANN",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-357-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "TX",
            "license": "K7182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159109102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.