NPIMap

Organization Active NPI

Phoenix Anesthesia and Pain Management Group, PLLC

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1699786210
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J2989 Issued in TX
Legal business name
PHOENIX ANESTHESIA AND PAIN MANAGEMENT GROUP, PLLC
Practice address
14902 Preston Rd
Suite 404-745
Dallas, TX 75254-9191
Phone
(214) 443-1240
Fax
(214) 443-1240
NPI assigned
Aug 10, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Lisa C. Taylor-Kennedy, MDNPI 1942489323
Title
Director
Phone
(214) 443-1240

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J2989 TX Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X J2989 TX

Addresses

Primary practice location

14902 Preston Rd
Suite 404-745
Dallas, TX 75254-9191

Mailing address

14902 Preston Rd
Suite 404-745
Dallas, TX 75254-9191
Phone (214) 443-1240

Other identifiers 2

IdentifierTypeStateIssuer
BCBS FACILITY 0042HWOtherTXLISA TAYLOR-KENNEDY, MD
BCBS PROVIDER 8G0150OtherTXLISA TAYLOR-KENNEDY, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1699786210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14902 PRESTON RD",
            "address_2": "SUITE 404-745",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549191",
            "telephone_number": "214-443-1240",
            "fax_number": "214-443-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14902 PRESTON RD",
            "address_2": "SUITE 404-745",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549191",
            "telephone_number": "214-443-1240",
            "fax_number": "214-443-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ANESTHESIA AND PAIN MANAGEMENT GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-KENNEDY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-443-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J2989",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J2989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISA TAYLOR-KENNEDY, MD",
            "identifier": "BCBS FACILITY 0042HW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISA TAYLOR-KENNEDY, MD",
            "identifier": "BCBS PROVIDER 8G0150",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.