Advanced Pain Management & Wellness Center P.a.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

ADVANCED PAIN MANAGEMENT & WELLNESS CENTER P.A.

Doing business as

Viva Pain Management

Practice address

11707 Crescent Cove Dr
Pearland, TX 77584-3282

Phone

(856) 581-6114

NPI assigned

Jul 28, 2020

Last updated

May 18, 2022By 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

Dr. Moustafa Mohamed Ahmed, MD

Title

Owner

Phone

(856) 581-6114

Specialties & licenses 2

Addresses

Other names 1

• Viva Pain Management Doing business as

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1770192577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 CRESCENT COVE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843282",
            "telephone_number": "856-581-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 CRESCENT COVE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843282",
            "telephone_number": "856-581-6114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Greenhouse Rd Ste 300B",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770847288",
            "country_code": "US",
            "telephone_number": "281-982-2114",
            "fax_number": "855-540-2487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2302 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770029143",
            "country_code": "US",
            "telephone_number": "832-538-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PAIN MANAGEMENT & WELLNESS CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOUSTAFA",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-581-6114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pearland",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11707 Crescent Cove Dr",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775843282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pearland",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11707 Crescent Cove Dr",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775843282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Viva Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Medicine (Anesthesiology) Physician in Pearland, TX
• Providers in Pearland, 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 May 18, 2022; 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.