Universal Pain Management, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

UNIVERSAL PAIN MANAGEMENT, PLLC

Practice address

755 N 11TH St
Suite P2280
Beaumont, TX 77702-1500

Phone

(409) 236-1600

Fax

(409) 236-1601

NPI assigned

Dec 18, 2012

Last updated

Dec 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen J. Schange, M.D.NPI 1104812569

Title

President

Phone

(409) 835-0348

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Sassan Cyrus Ehdaie, MD

  • Pain Medicine (Anesthesiology) Physician
  • Beaumont, TX
  • NPI 1295926475
  Medicare reassignment NPD
• Stephen J. Schange, M.D.

  • Anesthesiology Physician
  • Beaumont, TX
  • NPI 1104812569
  Authorized official Same address or phone
• Tobin A. Slack, M.D.

  • Anesthesiology Physician
  • Beaumont, TX
  • NPI 1043354350
  NPD
• John B Field Jr., M.D.

  • Anesthesiology Physician
  • Beaumont, TX
  • NPI 1184610479
  NPD (past)

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1720324809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P3600",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-835-0348",
            "fax_number": "409-832-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P2280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-236-1600",
            "fax_number": "409-236-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "SCHANGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-835-0348",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.