Active NPI
The Pain Rehabilitation Group of Wichita Falls P.a.
- Pain Medicine (Anesthesiology) Physician
- Wichita Falls, TX
National Provider Identifier
1609892074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- THE PAIN REHABILITATION GROUP OF WICHITA FALLS P.A.
- Practice address
- 4301 Maplewood Ave
Ste a
Wichita Falls, TX 76308 - Phone
- (940) 696-8500
- Fax
- (940) 696-8546
- NPI assigned
- Jul 15, 2006
- Last updated
- May 29, 2018
- 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
- Mark A Workman, M.D.
- Title
- President
- Phone
- (940) 696-8500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | Primary |
Addresses
Primary practice location
4301 Maplewood Ave
Ste a
Wichita Falls, TX 76308
Mailing address
4301 Maplewood Ave
Ste a
Wichita Falls, TX 76308-3879
Phone (940) 696-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079982701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4301 Maplewood Ave
Ste Q
Wichita Falls, TX 76308
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Wichita Falls, TX
- NPI 1447238415
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Wichita Falls, TX
- NPI 1528412392
Single Specialty
-
- Adult Health Nurse Practitioner
- Wichita Falls, TX
- NPI 1952760779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527552000000",
"number": "1609892074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 MAPLEWOOD AVE",
"address_2": "STE A",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763083879",
"telephone_number": "940-696-8500",
"fax_number": "940-696-8546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 MAPLEWOOD AVE",
"address_2": "STE A",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "76308",
"telephone_number": "940-696-8500",
"fax_number": "940-696-8546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PAIN REHABILITATION GROUP OF WICHITA FALLS P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2018-05-29",
"status": "A",
"authorized_official_last_name": "WORKMAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "940-696-8500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079982701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
- Texoma Womens Clinic P.a. (The Womens Clinic)
- Olga I Tezaguic, D.O.
- Chee-Ah Thao
- The Milk Spot, LLC
- The MRI Center at Ostc (The MRI Center @ OSTC)
- The Steven & Cathy Aune Corp (Aune Chiropractic Wellness Center)
- Thi of Texas at Grace Care Center, LLC (Grace Care Center)
- Thi of Texas at Wichita Falls, LLC (Texas Specialty Hospital at Wichita Falls)
- Thomas E. Taylor, M.D.
- April D Thomas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.