DR. ANUJ PRAKASH DAFTARI (NPI# 1043452196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043452196 |
| Entity Type | Individual |
| Full Name | DR. ANUJ PRAKASH DAFTARI |
| Credential | M.D. |
| Practice Address |
3420 S Mercy Rd Ste 200 Gilbert AZ 85297-0423 |
| Mailing Address |
18444 N 25th Ave 310 Phoenix AZ 85023-1266 |
| Practice Telephone | 6235375600 |
| Mailing Telephone | (623) 537-5600 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | A121158 | CA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 46176 | AZ | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A121158 | CA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
46176 | AZ | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
A121158 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
46176 | AZ | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A121158 | CA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
46176 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2680 S Val Vista Dr Ste 146, Gilbert, AZ 852951636 | 8669742673 |
| Street Address |
3420 S MERCY RD STE 200 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-0423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225292634 | John Wallace | Anesthesiology | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2008-07-15 |
| 1942840335 | Tanner Olsen | Physician Assistant | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2020-01-13 |
| 1902389273 | Tyler Knudsen | Physician Assistant | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2018-09-12 |
| 1235639428 | Alexis Anne Brouse | Physician Assistant | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2018-02-14 |
| 1619407616 | Kristin Mihalcin | Physician Assistant | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2017-06-13 |
| 1578981601 | Kirsten Sumner | Orthopaedic Surgery | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2014-04-05 |
| 1700148731 | Nicholas Kurt Wischmeier | Orthopaedic Surgery | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297 | 2012-06-14 |
| 1447559216 | Brandon Paul Hirsch | Orthopaedic Surgery | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297 | 2011-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790009231 | Sachin Narain | Pain Medicine | 3645 S Rome St Ste 216, Gilbert, AZ 85297-7338 | 2010-03-25 |
| 1114549391 | Gilbert Pain Medicine LLC | Pain Medicine | 3755 S Gilbert Rd Ste 109, Gilbert, AZ 85297-2008 | 2020-05-11 |
| 1669011482 | Mcqueen Professional Group, LLC | Pain Medicine | 1450 W Guadalupe Rd Ste 124, Gilbert, AZ 85233-3056 | 2019-12-26 |
| 1568947190 | Desert Medical Group | Pain Medicine | 1517 E Bluebird Ct, Gilbert, AZ 85297-6820 | 2018-09-29 |
| 1316281967 | The Core Institute Spine Center Gilbert | Pain Medicine | 2680 S Val Vista Dr, Building 9, Suite 146, Gilbert, AZ 85295-2152 | 2012-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842485 | Southwest Pain Solutions, LLC | Pain Medicine | 6401 E Caron Dr, Paradise Valley, AZ 85253-1862 | 2020-05-08 |
| 1801422209 | Akg Medical Consulting Pllc | Pain Medicine | 7425 E Shea Blvd # 14, Scottsdale, AZ 85260-6411 | 2020-03-17 |
| 1821652686 | Randall S. Prust Md PC | Pain Medicine | 6060 N Fountain Plaza Dr Ste 170, Tucson, AZ 85704-7875 | 2019-04-26 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1861964686 | Choice Pain Solutions Treatment Center | Pain Medicine | 10565 N Tatum Blvd Ste B115, Paradise Valley, AZ 85253-1095 | 2018-12-18 |
| 1679070379 | Dessert Ridge Professional LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2018-04-09 |
| 1982124582 | Phoenix Pain Treatment Centers, Pllc | Pain Medicine | 9140 W Thomas Rd Ste B-106, Phoenix, AZ 85037-3378 | 2017-06-23 |
| 1538699491 | Jtm Healthcarellc | Pain Medicine | 12049 W Indian School Road, Suite B210, Avondale, AZ 85392-9505 | 2017-06-14 |
| 1568909562 | T&d Health LLC | Pain Medicine | 30099 N 129th Dr, Peoria, AZ 85383-5267 | 2017-01-27 |
| 1205292315 | Advanced Back and Neck, LLC | Pain Medicine | 1055 W Queen Creek Rd Ste 3, Chandler, AZ 85248-8134 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.