NPIMap

Organization Active NPI

Vyvo Therapeutics

  • Interventional Pain Medicine Physician
  • Midland, TX
National Provider Identifier
1851083695
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
VYVO THERAPEUTICS
Practice address
2817 W Loop 250 N Ste a
Midland, TX 79705-3205
Phone
(432) 218-8054
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Neil Doctor, MDNPI 1619322492
Title
Physician
Phone
(432) 218-8054

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

2817 W Loop 250 N Ste a
Midland, TX 79705-3205

Mailing address

2817 W Loop 250 N Ste a
Midland, TX 79705-3205
Phone (432) 218-8054

Other identifiers 2

IdentifierTypeStateIssuer
1619322492MedicaidTX
1669842118MedicaidTX

Other names 1

  • Vyvo Spine and Pain Management Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231011002467 TX Part B Supplier - Clinic/Group Practice 8224483227 Receives reassigned benefits from 2 practitioners
Practice locations: Midland, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1851083695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 W LOOP 250 N STE A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053205",
            "telephone_number": "432-218-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 W LOOP 250 N STE A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053205",
            "telephone_number": "432-218-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYVO THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "DOCTOR",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "432-218-8054",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619322492",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669842118",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vyvo Spine and Pain Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.