NPIMap

Organization Active NPI

Definitive Interventional Spine Center

  • Interventional Pain Medicine Physician
  • Spring, TX
National Provider Identifier
1891021903
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K8150 Issued in TX
Legal business name
DEFINITIVE INTERVENTIONAL SPINE CENTER
Practice address
6225 FM 2920 Rd
Suite 100
Spring, TX 77379-3474
Phone
(713) 562-7890
Fax
(281) 605-4566
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Mark Jason Filley, M.D.
Title
President
Phone
(281) 543-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X K8150 TX Primary

Addresses

Primary practice location

6225 FM 2920 Rd
Suite 100
Spring, TX 77379-3474

Mailing address

10507 E Wildwind Cir
The Woodlands, TX 77380-4043
Phone (713) 562-7890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1891021903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 E WILDWIND CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804043",
            "telephone_number": "713-562-7890",
            "fax_number": "281-605-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 FM 2920 RD",
            "address_2": "SUITE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793474",
            "telephone_number": "713-562-7890",
            "fax_number": "281-605-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINITIVE INTERVENTIONAL SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "FILLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-543-0012",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K8150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.