Organization Active NPI

Northstar Pain Management, P. a.

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1467746347
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
J5807 Issued in TX
Legal business name
NORTHSTAR PAIN MANAGEMENT, P. A.
Practice address
4120 Southwest Fwy Ste 200
Houston, TX 77027-0500
Phone
(281) 840-5200
Fax
(281) 605-1300
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Dr. Kenneth Efird
Title
Adminstrator
Phone
(713) 355-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X J5807 TX Primary

Addresses

Primary practice location

4120 Southwest Fwy Ste 200
Houston, TX 77027-0500

Mailing address

4120 Southwest Fwy Ste 200
Houston, TX 77027-0500
Phone (281) 840-5200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1467746347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770270500",
            "telephone_number": "281-840-5200",
            "fax_number": "281-605-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770270500",
            "telephone_number": "281-840-5200",
            "fax_number": "281-605-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR PAIN MANAGEMENT, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "EFIRD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "713-355-8600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "J5807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.