Organization Active NPI

St. Michael'S Pain and Spine Clinics PLLC

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1710153408
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ST. MICHAEL'S PAIN AND SPINE CLINICS PLLC
Practice address
2646 S, Loop West Ste 106
Houston, TX 77054-1901
Phone
(713) 661-0300
Fax
(281) 822-0480
NPI assigned
May 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Miguel Angel Pappolla, MD
Title
Owner
Phone
(713) 661-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

2646 S, Loop West Ste 106
Houston, TX 77054-1901

Mailing address

2646 S. Loop West Ste 106
Houston, TX 77054-1901
Phone (713) 661-0300

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2043719St Michael'S Pain & Spine Clinics2646 S Loop W Ste 106, Houston, TX 77054Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

2646 S Loop W
Ste 106
Houston, TX 77054
Phone (713) 661-0300

2429 W Holcombe Blvd
Houston, TX 77030
Phone (832) 448-0706

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1710153408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 S. LOOP WEST STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541901",
            "telephone_number": "713-661-0300",
            "fax_number": "281-822-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S, LOOP WEST STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541901",
            "telephone_number": "713-661-0300",
            "fax_number": "281-822-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MICHAEL'S PAIN AND SPINE CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "PAPPOLLA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-661-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.