Active NPI
Skyline Pain PLLC
- Interventional Pain Medicine Physician
- Cedar Park, TX
National Provider Identifier
1831907575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- SKYLINE PAIN PLLC
- Practice address
- 200 Buttercup Creek Blvd Ste 115
Cedar Park, TX 78613-3701 - Phone
- (512) 777-1211
- Fax
- (512) 777-1214
- NPI assigned
- Dec 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Kim
- Title
- Manager
- Phone
- (512) 777-1211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
200 Buttercup Creek Blvd Ste 115
Cedar Park, TX 78613-3701
Mailing address
200 Buttercup Creek Blvd Ste 115
Cedar Park, TX 78613-3701
Phone (512) 777-1211
National Provider Directory
National Provider DirectoryPractitioners & 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": "1735257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735257600000",
"number": "1831907575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BUTTERCUP CREEK BLVD STE 115",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133701",
"telephone_number": "512-777-1211",
"fax_number": "512-777-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BUTTERCUP CREEK BLVD STE 115",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133701",
"telephone_number": "512-777-1211",
"fax_number": "512-777-1214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLINE PAIN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "512-777-1211"
},
"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": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.