Organization Active NPI

Advanced Invasive Pain Management of Houston PA

  • Specialist
  • Beaumont, TX
National Provider Identifier
1669407235
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA
Practice address
755 S 11TH St
Suite 219
Beaumont, TX 77701-3732
Phone
(409) 835-4400
Fax
(409) 835-8801
NPI assigned
Jul 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerry May Keepers, M.D.NPI 1568497139
Title
President
Phone
(713) 943-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

755 S 11TH St
Suite 219
Beaumont, TX 77701-3732

Mailing address

PO Box 5807
Kingwood, TX 77325-5807
Phone (713) 943-7246

National Provider Directory

National Provider Directory
Tax ID family
Advanced Invasive Pain Management of Houston PA19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669407235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5807",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773255807",
            "telephone_number": "713-943-7246",
            "fax_number": "713-943-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S 11TH ST",
            "address_2": "SUITE 219",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013732",
            "telephone_number": "409-835-4400",
            "fax_number": "409-835-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEEPERS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-943-7246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.