Organization Active NPI

Integrative Pain Services PA

  • Interventional Pain Medicine Physician
  • Austin, TX
National Provider Identifier
1578567459
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
INTEGRATIVE PAIN SERVICES PA
Practice address
4807 Spicewood Springs Rd
Ste 1235
Austin, TX 78759-8478
Phone
(512) 795-9977
Fax
(512) 418-8445
NPI assigned
Jun 9, 2005
Last updated
Aug 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Mark Stephen White, D.O.
Title
President
Phone
(512) 795-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

4807 Spicewood Springs Rd
Ste 1235
Austin, TX 78759-8478

Mailing address

4807 Spicewood Springs Rd
Ste 1235
Austin, TX 78759-8478
Phone (512) 795-9977

National Provider Directory

National Provider Directory

Locations

4807 Spicewood Springs Rd
Ste 1235
Austin, TX 78759
Phone (512) 306-0095

Practitioners & affiliated clinicians

Practitioners 1

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": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1578567459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 SPICEWOOD SPRINGS RD",
            "address_2": "STE 1235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598478",
            "telephone_number": "512-795-9977",
            "fax_number": "512-418-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 SPICEWOOD SPRINGS RD",
            "address_2": "STE 1235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598478",
            "telephone_number": "512-795-9977",
            "fax_number": "512-418-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PAIN SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-795-9977",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.