Carefirst Medical Associates and Pain Rehabilitation, PA

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA

Practice address

3704 Alta Mesa Blvd
Fort Worth, TX 76133-5606

Phone

(817) 423-4440

Fax

(817) 423-4441

NPI assigned

Aug 24, 2009

Last updated

Jan 4, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PAAs reported in NPPES

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

Authorized official

Name

Dr. Randall W Rodgers, D.O.NPI 1104852888

Title

Physician-President

Phone

(903) 839-1000

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Carefirst Medical Associates and Pain Rehabilitation, PA

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1114953767

  O20060504000838

  Same enrollment

Part of

Carefirst Medical Associates and Pain Rehabilitation PA

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Carefirst Medical Associates and Pain Rehabilitation, PA

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1114953767
  NPPES parent name

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.

• Randall W Rodgers, D.O.

  • Interventional Pain Medicine Physician
  • Tyler, TX
  • NPI 1104852888
  Authorized official Same address or phone
• Christopher Cody Chandler, D.C.

  • Chiropractor
  • Whitehouse, TX
  • NPI 1306015276
  NPD (past)
• Rudolph A. Theobald, D.C.

  • Rehabilitation Chiropractor
  • Fort Worth, TX
  • NPI 1386729929
  NPD (past)
• Sybil Rochelle Reddick, MD

  • Physical Medicine & Rehabilitation Physician
  • Rossville, GA
  • NPI 1083693212
  NPD (past)

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1780817866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 STATE HIGHWAY 110 N",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "757913109",
            "telephone_number": "903-839-1000",
            "fax_number": "903-839-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 ALTA MESA BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335606",
            "telephone_number": "817-423-4440",
            "fax_number": "817-423-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA",
        "enumeration_date": "2009-08-24",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN-PRESIDENT",
        "authorized_official_telephone_number": "903-839-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "1780817866",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF1536",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Caregiver MN, LLC
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• Careidean, Inc (Comfort Keepers)
• Carelink Rides Inc

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.