Daniel R Theesfeld

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

J3712 Issued in TX

Practice address

3217 4TH St
Longview, TX 75605-5145

Phone

(903) 753-7333

Fax

(903) 753-4849

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paradigm Homecare Home health agency, Tyler, TX, CCN 457833

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H8Pain Pain Management Center of Texas PLLC

  dba The Pain Management Center of Texas

  • Interventional Pain Medicine Physician
  • Longview, TX
  • NPI 1063743714

  Anesthesiology

  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Paradigm Rehab & Nursing, LLC

  dba Paradigm Home Health

  • Home Health Agency
  • Tyler, TX
  • NPI 1376540047
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639120298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055145",
            "telephone_number": "903-753-7333",
            "fax_number": "903-753-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055145",
            "telephone_number": "903-753-7333",
            "fax_number": "903-753-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEESFELD",
        "first_name": "DANIEL",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J3712",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "J3712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "0046KA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Hope House Recovery Center, LLC
• The Oaks at Longview Operating
• The Pharmacy of Longview LLC (Medical Plaza Pharmacy)
• The Veta Lewis Behavioral Health Group
• The903Np
• Therapy 4 US
• Kathleen Mary Thibodeaux Haslam, P.T.
• Krishna Thirumalai
• Angela Thomas
• Catherine A Thomas, APN

• Interventional Pain Medicine Physician in Longview, TX
• Providers in Longview, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.