Medical Centre Pain Management Associates P a

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

MEDICAL CENTRE PAIN MANAGEMENT ASSOCIATES P A

Practice address

1001 12TH Ave Ste 170
Fort Worth, TX 76104-3926

Phone

(817) 810-0500

Fax

(817) 810-0502

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Alfredo L. Marti, MDNPI 1407806326

Title

President

Phone

(817) 810-0500

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfredo L. Marti, M.D.

  • Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1407806326
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1902855521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163973",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761613973",
            "telephone_number": "817-810-0500",
            "fax_number": "817-810-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 170",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-810-0500",
            "fax_number": "817-810-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTRE PAIN MANAGEMENT ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MARTI",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-810-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0002JH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medica-Rents Co LLC
• Medica-Rents Co., LTD
• Medical Assessments Inc.
• Medical Case Management & Social Services, Inc.
• Medical Centre Iom Services, PLLC
• Medical City Surgery Center of Alliance, LLC
• Medical Clinic of North Texas PLLC
• Medical Clinic of North Texas PLLC
• Medical Edge Healthcare Group PA
• Medical Edge Healthcare Group PA

• Pain Medicine (Anesthesiology) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.