Organization Active NPI

Yancey Pain & Spine, LLLP

  • Pain Medicine (Anesthesiology) Physician
  • Shenandoah, TX
National Provider Identifier
1629628672
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
YANCEY PAIN & SPINE, LLLP
Practice address
9200 Pinecroft Dr Ste 330
Shenandoah, TX 77380-3279
Phone
(346) 351-2948
NPI assigned
Sep 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

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

Authorized official

Name
Dr. William Yancey, MDNPI 1396989067
Title
Partner
Phone
(870) 219-6941

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

9200 Pinecroft Dr Ste 330
Shenandoah, TX 77380-3279

Mailing address

28803 Dobbin Huffsmith Rd
Magnolia, TX 77354-6474
Phone (870) 219-6941

Other practice location 1

6560 Fannin St Ste 1016
Houston, TX 77030-2725
Phone (832) 378-8812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200129000031 TX Part B Supplier - Clinic/Group Practice 3476989112 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Shenandoah, TX

National Provider Directory

National Provider Directory

Locations

6560 Fannin St
Ste 1016
Houston, TX 77030
Phone (713) 610-4270

9200 Pinecroft Dr
Ste 330
Shenandoah, TX 77380
Phone (346) 351-2948

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1629628672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28803 DOBBIN HUFFSMITH RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773546474",
            "telephone_number": "870-219-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR STE 330",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803279",
            "telephone_number": "346-351-2948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6560 Fannin St Ste 1016",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302725",
            "country_code": "US",
            "telephone_number": "832-378-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YANCEY PAIN & SPINE, LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "YANCEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "870-219-6941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.

Verify at the official NPI Registry.