Organization Active NPI

Painmd Foundation

  • Voluntary or Charitable Agency
  • Conroe, TX
National Provider Identifier
1619722709
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
PAINMD FOUNDATION
Practice address
3786 FM 1488 Rd Ste 150
Conroe, TX 77384-4987
Phone
(346) 275-5002
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Jessen Mukalel, MD
Title
Board Member
Phone
(346) 275-5002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

3786 FM 1488 Rd Ste 150
Conroe, TX 77384-4987

Mailing address

PO Box 133186
Spring, TX 77393-3186

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1619722709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133186",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773933186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 FM 1488 RD STE 150",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844987",
            "telephone_number": "346-275-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINMD FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "MUKALEL",
        "authorized_official_first_name": "JESSEN",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "346-275-5002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.