PHOENIX INTERVENTIONAL PAIN MANAGEMENT, PLLC (NPI# 1083100812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083100812 |
| Entity Type | Organization |
| Organization Name | PHOENIX INTERVENTIONAL PAIN MANAGEMENT, PLLC |
| Practice Address |
3815 E Bell Rd Ste 3500a Phoenix AZ 85032 |
| Mailing Address |
6812 W Morrow Dr Glendale AZ 85308-5742 |
| Practice Telephone | 6232315595 |
| Practice Fax Number | 6232315595 |
| Mailing Telephone | 6233633223 |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | DR. JENNIFER DAIS (OWNER) |
| Authorized Official Telephone | 6232315595 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
52011 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6812 W Morrow Dr, Glendale, AZ 853085742 | 6233633223 |
| Street Address |
3815 E BELL RD STE 3500A |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| 1518480896 | Katherine Smith | Massage Therapist | 4242 E Cactus Rd, Apt 432, Phoenix, AZ 85032 | 2017-07-19 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275061434 | Four Seasons Medical Concierge LLC | Anesthesiology | 20235 N Cave Creek Rd Ste 104-494, Phoenix, AZ 85024-4424 | 2017-05-31 |
| 1740636687 | Dynamic Pain Management Pllc | Anesthesiology | 4045 E Bell Rd Ste 149, Phoenix, AZ 85032-2239 | 2016-05-10 |
| 1972919918 | Gold Rush Mtc Pllc | Anesthesiology | 5133 N Central Ave Ste 110, Phoenix, AZ 85012-1438 | 2014-07-10 |
| 1477976546 | Takayama 90 Med Pllc | Anesthesiology | 14848 N 15th Dr, Phoenix, AZ 85023-5181 | 2014-01-27 |
| 1649407180 | Pain Mds Inc | Anesthesiology | 2525 W Carefree Hwy Ste 134, Phoenix, AZ 85085 | 2009-06-11 |
| 1235309360 | Izzy Pain Mangement P C | Anesthesiology | 640 W Maryland Ave, Suite 3, Phoenix, AZ 85013-1398 | 2008-03-04 |
| 1427230788 | Sun Pain Management, Pllc | Anesthesiology | 5501 N. 19th Avenue, Suite 103, Phoenix, AZ 85015 | 2007-11-28 |
| 1871650739 | The Pain Center of Arizona, PC | Anesthesiology | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027-3602 | 2007-01-02 |
| 1326116278 | David K Towns | Anesthesiology | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2006-11-30 |
| 1760441141 | Integrated Medical Services Inc | Anesthesiology | 3815 E Bell Rd Ste 2200, Phoenix, AZ 85032-2139 | 2006-03-22 |
| 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.