Organization Active NPI

Neurospine Interventional Pain Management Center PLLC

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1801341227
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
Q9482 Issued in TX
Legal business name
NEUROSPINE INTERVENTIONAL PAIN MANAGEMENT CENTER PLLC
Practice address
2105 Jackson St
Suite 1
Houston, TX 77003-5839
Phone
(732) 952-5533
NPI assigned
Aug 16, 2016
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Amit Poonia, M.D.NPI 1780904359
Title
Medical Director
Phone
(732) 952-5533

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Q9482 TX Primary

Addresses

Primary practice location

2105 Jackson St
Suite 1
Houston, TX 77003-5839

Mailing address

2105 Jackson St
Suite 1
Houston, TX 77003-5839
Phone (732) 952-5533

National Provider Directory

National Provider Directory

Locations

2105 Jackson St
Ste 1
Houston, TX 77003
Phone (732) 952-5533

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1801341227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 JACKSON ST",
            "address_2": "SUITE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770035839",
            "telephone_number": "732-952-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 JACKSON ST",
            "address_2": "SUITE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770035839",
            "telephone_number": "732-952-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINE INTERVENTIONAL PAIN MANAGEMENT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "POONIA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-952-5533",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "Q9482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.