Organization Active NPI

Midcounty Pain Services, LLC

  • Pain Clinic/Center
  • Beaumont, TX
National Provider Identifier
1427562891
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
MIDCOUNTY PAIN SERVICES, LLC
Practice address
3610 Stagg Dr
Beaumont, TX 77701-3739
Phone
(409) 923-0012
Fax
(409) 291-8010
NPI assigned
Nov 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Authorized official

Name
Ryan C McHugh, MD
Title
Physician/Owner
Phone
(507) 398-2067

Specialties & licenses 1

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

Addresses

Primary practice location

3610 Stagg Dr
Beaumont, TX 77701-3739

Mailing address

PO Box 1245
Port Neches, TX 77651-1245
Phone (507) 398-2067

Other identifiers 1

IdentifierTypeStateIssuer
P2493OtherTXSTATELICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL unknown

National Provider Directory

National Provider Directory

Locations

2501 Jimmy Johnson Blvd
Ste 201B
Port Arthur, TX 77640

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657929600000",
    "number": "1427562891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776511245",
            "telephone_number": "507-398-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 STAGG DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013739",
            "telephone_number": "409-923-0012",
            "fax_number": "409-291-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCOUNTY PAIN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "507-398-2067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATELICENSE",
            "identifier": "P2493",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "address_1": "3610 Stagg Dr",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777013739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.