Synapse Pain Management, PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

SYNAPSE PAIN MANAGEMENT, PLLC

Practice address

2200 Physicians Blvd Ste B
Ennis, TX 75119-6248

Phone

(972) 833-1062

Fax

(972) 665-6557

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gary Martin, MD

Title

Manager

Phone

(469) 215-3494

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1700443298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250889",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250889",
            "telephone_number": "214-390-7697",
            "fax_number": "888-770-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHYSICIANS BLVD STE B",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196248",
            "telephone_number": "972-833-1062",
            "fax_number": "972-665-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPSE PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-215-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Lee Stephens, LCSW; PSC;
• Paige Erin Stipe, PTA
• John M Sullivan, MD
• Margaret Mary Sullivan, MD
• Summit Therapeutic Concepts of Ennis LLC
• Amber Lashun Tennison
• Texas Em 1 Medical Services PA
• Texas Professional Anesthesia Associates PLLC
• Texas Specialty Physicians
• Texas Specialty Physicians

• Pain Clinic/Center in Ennis, TX
• Providers in Ennis, TX by specialty
• Pain Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.