INTERVENTIONAL SPINE ASSOCIATES PA NPI 1790794121

NPI Information

  • NPI: 1790794121
  • Provider Name: INTERVENTIONAL SPINE ASSOCIATES PA
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 700 OLYMPIC PLAZA CIR STE 404
    TYLER, TX
    ZIP 75701
  • Phone: (903) 593-1738

Map and Directions

Get Directions

NPI Details

INTERVENTIONAL SPINE ASSOCIATES PA is a pain medicine anesthesiology in Tyler, TX. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. INTERVENTIONAL SPINE ASSOCIATES PA NPI is 1790794121. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 OLYMPIC PLAZA CIR STE 404
TYLER, TX
ZIP 75701-952
Phone: (903) 593-1738
Fax: (903) 596-7852

The provider's authorized official is Robert M Sutherland .
The authorized official title is Owner and has the following contact phone number (903) 593-1738.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 12/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.