NPIMap

Organization Active NPI

Greentree Health Pain Management

  • Pain Medicine Physician
  • Austin, TX
National Provider Identifier
1578994703
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
F8173 Issued in TX
Legal business name
GREENTREE HEALTH PAIN MANAGEMENT
Practice address
8900 Shoal Creek BVLD
BLDG 200
Austin, TX 78757
Phone
(512) 788-3411
Fax
(512) 375-3865
NPI assigned
Dec 13, 2013
Last updated
Dec 13, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
GREENTREE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Nathalie Blackstock
Title
Director RCM Division
Phone
(512) 788-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X F8173 TX Primary

Addresses

Primary practice location

8900 Shoal Creek BVLD
BLDG 200
Austin, TX 78757

Mailing address

8900 Shoal Creek BVLD BLDG 200
Austin, TX 78757
Phone (512) 788-3411

National Provider Directory

National Provider Directory
Tax ID family
Greentree Health11 organizations share this tax ID, including this one
Part of
Greentree Health

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1578994703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SHOAL CREEK BVLD BLDG 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78757",
            "telephone_number": "512-788-3411",
            "fax_number": "512-375-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SHOAL CREEK BVLD",
            "address_2": "BLDG 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78757",
            "telephone_number": "512-788-3411",
            "fax_number": "512-375-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTREE HEALTH PAIN MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENTREE HEALTH",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "BLACKSTOCK",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "DIRECTOR RCM DIVISION",
        "authorized_official_telephone_number": "512-788-3411"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "F8173",
            "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 Dec 13, 2013; 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.