Premier Pain Consultants, PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

L7996 Issued in TX

Legal business name

PREMIER PAIN CONSULTANTS, PA

Practice address

18626 Hardy Oak
Suite 215
San Antonio, TX 78258

Phone

(210) 616-9400

Fax

(210) 616-9404

NPI assigned

Dec 21, 2010

Organization subpart

Yes

Parent organization

PREMIER PAIN CONSULTANTS, PAAs reported in NPPES

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

Authorized official

Name

Mr. Yurii D Borshch, M.D.

Title

General Partner

Phone

(210) 616-9400

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Premier Pain Consultants, PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1003835133

  O20050208000329

  Same enrollment

Part of

Premier Pain Consultants

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1710280326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78291",
            "telephone_number": "210-616-9400",
            "fax_number": "210-616-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK",
            "address_2": "SUITE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-616-9400",
            "fax_number": "210-616-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN CONSULTANTS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER PAIN CONSULTANTS, PA",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "BORSHCH",
        "authorized_official_first_name": "YURII",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "210-616-9400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M2907",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "N3706",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L7996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178257501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Interventional Pain Management, P.L.L.C
• Premier Interventional Pain Management, PLLC
• Premier OB-GYN of Texas LLC
• Premier Orthopaedic Surgery and Sports Health PLLC
• Premier Pain Consultants, PA
• Premier Pain Consultants, PLLC
• Premier Pain Consultants, PLLC
• Premier Pain Consultants, PLLC
• Premier Pain Consultants, PLLC
• Premier Pain Consultants, PLLC

• Interventional Pain Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.