Organization Active NPI

Pain and Health Management Center PA

Doing business as Pain and Health Center

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1871715649
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
H6111 Issued in TX
Legal business name
PAIN AND HEALTH MANAGEMENT CENTER PA
Doing business as
Pain and Health Center
Practice address
915 Gessner Rd.
Suite 970
Houston, TX 77024
Phone
(713) 932-0770
Fax
(713) 932-8595
NPI assigned
May 2, 2007
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Dr. Jeffrey Hal CharnovNPI 1629060405
Title
Partner
Phone
(713) 932-0770

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X H6111 TX Primary

Addresses

Primary practice location

915 Gessner Rd.
Suite 970
Houston, TX 77024

Mailing address

915 Gessner Rd
Suite 970
Houston, TX 77024-2527
Phone (713) 932-0770

Other identifiers 3

IdentifierTypeStateIssuer
123129201MedicaidTX
85283201MedicaidTX
00Z397OtherTXMEDICARE PTAN

Other names 1

  • Pain and Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080725000649 TX Part B Supplier - Clinic/Group Practice 5991878712 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Pain and Health Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

909 Frostwood Dr
#310
Houston, TX 77024
Phone (713) 932-0770

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1871715649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD",
            "address_2": "SUITE 970",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242527",
            "telephone_number": "713-932-0770",
            "fax_number": "713-932-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD.",
            "address_2": "SUITE 970",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-932-0770",
            "fax_number": "713-932-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND HEALTH MANAGEMENT CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "CHARNOV",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HAL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "713-932-0770",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "H6111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123129201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85283201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00Z397",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 29, 2016; 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.