360 Pain and Rehabilitation PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

360 PAIN AND REHABILITATION PLLC

Practice address

2200 Park Bend Dr
BLGD 1, Suite 201
Austin, TX 78758-5387

Phone

(512) 368-2200

Fax

(512) 363-2201

NPI assigned

May 28, 2010

Organization subpart

No

Name

Ms. Morgan B Krull

Title

Billing Manager

Phone

(512) 363-5779

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

• Asim S Aijaz, MD

  • Interventional Pain Medicine Physician
  • Round Rock, TX
  • NPI 1164641494

  Pain Medicine

  NPD (past)
• Bennett J. Ezekiel, M.D.

  • Interventional Pain Medicine Physician
  • Georgetown, TX
  • NPI 1477734721
  NPD (past)
• Kery L. Feferman, M.D.

  • Interventional Pain Medicine Physician
  • Austin, TX
  • NPI 1811172620

  Pain Medicine

  NPD (past)

• Pain Center Austin Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2011.

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1760701809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9135",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784699135",
            "telephone_number": "512-368-2200",
            "fax_number": "512-363-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLGD 1, SUITE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-368-2200",
            "fax_number": "512-363-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 PAIN AND REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "KRULL",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "512-363-5779",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Center Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 360 Vision PC
• 360 Wound Solutions, Inc.
• 360Care Audiology of TX LLC

• All providers in Austin, TX
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.