Active NPI
Midcounty Pain Services, LLC
- Pain Clinic/Center
- Beaumont, TX
National Provider Identifier
1427562891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2493 | Other | TX | STATELICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | unknown |
National Provider Directory
National Provider DirectoryLocations
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.