Active NPI
Consultants in Pain Medicine, PLLC
- Pain Medicine Physician
- Shavano Park, TX
National Provider Identifier
1750694733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- CONSULTANTS IN PAIN MEDICINE, PLLC
- Practice address
- 4680 Lockhill Selma Rd Ste 200
Shavano Park, TX 78249-2094 - Phone
- (210) 546-1400
- Fax
- (210) 805-8770
- NPI assigned
- Jul 20, 2010
- Last updated
- Apr 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Blanton
- Title
- Ceo
- Phone
- (210) 805-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
4680 Lockhill Selma Rd Ste 200
Shavano Park, TX 78249-2094
Mailing address
PO Box 2208
San Antonio, TX 78298-2208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110105001114 | TX | DME Supplier - Physician - General Practice | 2163492786 | Practice locations: San Antonio, TX |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Pain Medicine Physician
- New Braunfels, TX
- NPI 1225309065
2163492786
-
- Pain Medicine Physician
- San Antonio, TX
- NPI 1811292097
2163492786
National Provider Directory
National Provider DirectoryLocations
4680 Lockhill Selma Rd
Ste 200
Shavano Park, TX 78249
Phone (210) 546-1470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1750694733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2208",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782982208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4680 LOCKHILL SELMA RD STE 200",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782492094",
"telephone_number": "210-546-1400",
"fax_number": "210-805-8770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSULTANTS IN PAIN MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-20",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "BLANTON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "210-805-9800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shavano Park, TX
- Sumeet Naresh Chavan, MD
- Christian L Stallworth MD PLLC
- Christopher J Micallef DO PLLC (Micallef Plastic Surgery)
- City of Shavano Park
- Robert O. Cone III, M.D.
- Stephen L Cunningham, M.D.
- Cynthia Trevino Curtiss, FNP-BC
- Kimberlee Kay Daughtry-Lopez, L.P.C.
- David Gonzalez,M.D.,PLLC
- David S Levey MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.