EAST TEXAS MEDICAL SPECIALTIES
NPI 1154432706
Pain Medicine - Interventional Pain Medicine in Nacogdoches, TX

NPI Status: Active since August 31, 2006

Contact Information

3226 N UNIVERSITY DR STE 200
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 564-2710
Fax: (936) 564-2791

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About EAST TEXAS MEDICAL SPECIALTIES

This page provides the complete NPI Profile along with additional information for East Texas Medical Specialties, a provider established in Nacogdoches, Texas operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1154432706 assigned on August 2006. The practitioner's primary taxonomy code is 208VP0014X with license number K4263 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. East Texas Medical Specialties operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Elizabeth Adams (Office Mgr)

NPI
1154432706
Provider Name
EAST TEXAS MEDICAL SPECIALTIES
Entity Type
Organization
Location Address
3226 N UNIVERSITY DR STE 200 NACOGDOCHES, TX 75965
Location Phone
(936) 564-2710
Location Fax
(936) 564-2791
Mailing Address
3226 N UNIVERSITY DR STE 200 NACOGDOCHES, TX 75965
Mailing Phone
(936) 564-2710
Mailing Fax
(936) 564-2791
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
01-21-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
License No.
K4263
License State
TX
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RN0300XAllopathic & Osteopathic Physicians

Internal Medicine
Nephrology

K9503 (TX)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ELIZABETH ADAMS

Authorized Official Title
OFFICE MGR
Authorized Official Phone
(936) 564-2710

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
142409501MEDICAID (05)TX 
00176RMEDICARE ID-TYPE UNSPECIFIED (04)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154432706
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110483470
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 3 + 4 + 7 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1154432706 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154432706, enumerated in the NPI registry as an "organization" on August 31, 2006

The provider is located at 3226 N University Dr Ste 200 Nacogdoches, Tx 75965 and the phone number is (936) 564-2710

This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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