Organization Active NPI

Shafa Medical Services, PLLC

  • Pain Medicine Physician
  • Gainesville, TX
National Provider Identifier
1679838940
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
N4048 Issued in TX
Legal business name
SHAFA MEDICAL SERVICES, PLLC
Practice address
2024 W Highway 82
Gainesville, TX 76240-2051
Phone
(940) 612-8760
Fax
(940) 665-0209
NPI assigned
Jul 11, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Ramin Roufeh, MD
Title
Managing Member
Phone
(940) 612-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X N4048 TX Primary

Addresses

Primary practice location

2024 W Highway 82
Gainesville, TX 76240-2051

Mailing address

4821 Cypress PT
Frisco, TX 75034-6825
Phone (940) 612-8760

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1679838940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 CYPRESS PT",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346825",
            "telephone_number": "940-612-8760",
            "fax_number": "940-665-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W HIGHWAY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402051",
            "telephone_number": "940-612-8760",
            "fax_number": "940-665-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFA MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "ROUFEH",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "940-612-8760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "N4048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.