Austin Intervential Pain Procedures

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

AUSTIN INTERVENTIAL PAIN PROCEDURES

Practice address

911 W Anderson LN
Suite 104
Austin, TX 78757-1501

Phone

(512) 467-1100

Fax

(512) 467-1101

NPI assigned

May 29, 2009

Last updated

Jun 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ted Grosbeck

Title

Ceo

Phone

(469) 362-6909

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1881820231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268866",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268866",
            "telephone_number": "972-479-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W ANDERSON LN",
            "address_2": "SUITE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571501",
            "telephone_number": "512-467-1100",
            "fax_number": "512-467-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN INTERVENTIAL PAIN PROCEDURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "GROSBECK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-362-6909"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.