TATUM PROFESSIONAL GROUP LLC (NPI# 1043850324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043850324 |
| Entity Type | Organization |
| Organization Name | TATUM PROFESSIONAL GROUP LLC |
| Practice Address |
21001 N Tatum Blvd Ste 78-1640 Phoenix AZ 85050-5244 |
| Mailing Address |
2250 E Germann Rd Ste 8 Chandler AZ 85286-1575 |
| Practice Telephone | 4807737662 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | MINOO RAHIMI (CFO) |
| Authorized Official Telephone | 4809267800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
21001 N TATUM BLVD STE 78-1640 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679070379 | Dessert Ridge Professional LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2018-04-09 |
| 1427674118 | Matthew Robert Lemke | Physical Therapist | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-06-18 |
| 1073145801 | Dv Anesthesia Group LLC | Anesthesiology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
| 1629600440 | Dv Pain Ventures LLC | Clinic/Center | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
| 1083246805 | Dv Professional Group LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
| 1649810920 | Tatum Anesthesia Group LLC | Anesthesiology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-01-14 |
| 1790325066 | Tatum Pain Ventures LLC | Clinic/Center | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-01-14 |
| 1982255246 | Drps Iom Technical LLC | Psychiatry & Neurology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2019-09-26 |
| 1225689581 | Drps Iom Professional LLC | Psychiatry & Neurology | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2019-09-26 |
| 1538633474 | Dr Medical Group, LLC | Physical Medicine & Rehabilitation | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2019-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1831535350 | Ankit Patel | Pain Medicine | 1641 E Osborn Rd Ste 6, Phoenix, AZ 85016-7146 | 2013-05-13 |
| 1578181137 | Innovative Pain and Wellness Plc | Pain Medicine | 2340 E Beardsley Rd Ste 120, Phoenix, AZ 85024-1286 | 2020-07-10 |
| 1265052989 | Biltmore Med Group LLC | Pain Medicine | 3001 E Camelback Rd Ste 155, Phoenix, AZ 85016-4433 | 2020-04-22 |
| 1083246805 | Dv Professional Group LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
| 1720549090 | Virtuous Medical Associates, LLC | Pain Medicine | 2730 W Agua Fria Fwy Ste 103, Phoenix, AZ 85027-7202 | 2019-03-28 |
| 1114499472 | Iridium Pain Management Pllc | Pain Medicine | 4045 E Bell Rd Ste 147, Phoenix, AZ 85032-2239 | 2018-12-27 |
| 1013489350 | Pain Solutions of Arizona Pllc | Pain Medicine | 9140 W Thomas Rd Ste B-106, Phoenix, AZ 85037-3378 | 2018-12-27 |
| 1578035374 | Scottsdale Spine and Joint, LLC | Pain Medicine | 7010 E Chauncey Ln Ste 215, Phoenix, AZ 85054-3117 | 2018-12-19 |
| Find all providers in PHOENIX | ||||
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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.