NPIMap

Organization Active NPI

Pasadena Pain Management Consultants, PA.

Doing business as Interventional Pain Specialists

  • Interventional Pain Medicine Physician
  • Pasadena, TX
National Provider Identifier
1760566749
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PASADENA PAIN MANAGEMENT CONSULTANTS, PA.
Doing business as
Interventional Pain Specialists
Practice address
5010 Crenshaw Rd
Ste. #130
Pasadena, TX 77505-3047
Phone
(281) 991-2200
Fax
(281) 991-7700
NPI assigned
Oct 25, 2006
Last updated
Mar 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Dr. Jose Ramon Reyes Jr., MDNPI 1578584355
Title
Medical Director Ceo
Phone
(281) 991-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

5010 Crenshaw Rd
Ste. #130
Pasadena, TX 77505-3047

Mailing address

PO Box 5607
Pasadena, TX 77508-5607
Phone (281) 991-2200

Other identifiers 2

IdentifierTypeStateIssuer
079696301MedicaidTX
0004CGOtherTXBCBS GROUP #

Other names 1

  • Interventional Pain Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

155 Interstate 10 N
Ste 1
Beaumont, TX 77707
Phone (409) 838-4263

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1760566749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5607",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775085607",
            "telephone_number": "281-991-2200",
            "fax_number": "281-991-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 CRENSHAW RD",
            "address_2": "STE. #130",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053047",
            "telephone_number": "281-991-2200",
            "fax_number": "281-991-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA PAIN MANAGEMENT CONSULTANTS, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR CEO",
        "authorized_official_telephone_number": "281-991-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079696301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0004CG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.