MEDICAL PRACTICE – NPI #1922617125
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

MEDICAL PRACTICE is a provider located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1922617125 to MEDICAL PRACTICE on July 24, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICAL PRACTICE” is a dba name, the actual legal business name for this organization is PAIN MANAGEMENT SPECIALISTS. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 5 years ago on Feb 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL PRACTICE below.

NPI Profile for
PAIN MANAGEMENT SPECIALISTS

NPI Number
1922617125
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PAIN MANAGEMENT SPECIALISTS
Doing Business As (dba): MEDICAL PRACTICE
Other name(s)
All associated names:
Doing Business As (dba)
MEDICAL PRACTICE
Other Name
Pain Management Specialists
Primary location
2425 BABCOCK RD STE 111
SAN ANTONIO, TX 78229-4899
Phone: (210) 358-3108 Fax: (210) 702-4750
Mailing address
PO BOX 734812
DALLAS, TX 75373-4812
Phone: (210) 358-9500 Fax: (210) 358-9183
Organization Subpart
No
Authorized Official
AKINTOMI OLUGBODI
MEMBER
Phone: (610) 568-5078
Updated
Certification Date
Feb 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2425 BABCOCK RD STE 111,
SAN ANTONIO, TX 77025-1669