THE PAIN CENTER OF ARIZONA, PC (NPI# 1093128316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093128316 |
| Entity Type | Organization |
| Organization Name | THE PAIN CENTER OF ARIZONA, PC |
| Other Organization Name | DV 106 |
| Practice Address |
19636 N 27th Ave Suite 106 Phoenix AZ 85027-4013 |
| Mailing Address |
5281 N 99th Ave Suite 100 Glendale AZ 85305-3105 |
| Practice Telephone | 6235168252 |
| Practice Fax Number | 6232416021 |
| Mailing Telephone | 6235168252 |
| Mailing Fax Number | 6235168253 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-06 |
| Authorized Official Name | CLAUDIA GRIJALVA (CREDENTIALING) |
| Authorized Official Telephone | 6232416152 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE PAIN CENTER OF ARIZONA, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| DV 106 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154780237 | The Pain Center of Arizona, PC | Clinical Medical Laboratory | 20333 N 19th Ave Ste 130, Phoenix, AZ 85027-3627 | 2016-02-17 |
| 1871650739 | The Pain Center of Arizona, PC | Anesthesiology | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027-3602 | 2007-01-02 |
| 1750873287 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 13967 W Grand Ave Ste 103, Surprise, AZ 85374-3732 | 2018-05-31 |
| 1639660459 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 3645 S Rome St Ste 216, Gilbert, AZ 85297-7338 | 2018-05-29 |
| 1548751365 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 3811 E Bell Rd Ste 100, Phoenix, AZ 85032-2158 | 2018-05-29 |
| 1053802991 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 1704 W Anklam Rd Ste 108, Tucson, AZ 85745-2656 | 2018-05-26 |
| 1710368410 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4233 | 2015-06-18 |
| 1477956621 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-10-02 |
| 1720495146 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4233 | 2014-07-17 |
| 1902213325 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027 | 2014-07-17 |
| Street Address |
19636 N 27TH AVE SUITE 106 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647618 | Jeanne Lamont | Obstetrics & Gynecology | 19636 N 27th Ave, Ste 401, Phoenix, AZ 85027-4021 | 2005-05-31 |
| 1891246773 | John C Lincoln, LLC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013 | 2016-10-17 |
| 1033522370 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 202, Phoenix, AZ 85027-4013 | 2014-06-04 |
| 1639513047 | Jessica Rose Williams | Family Medicine | 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013 | 2013-04-29 |
| 1740587534 | North Mountain Imaging Specialists, LLC | Radiology | 19636 N 27th Ave, Suite Ll1, Phoenix, AZ 85027-4013 | 2011-02-15 |
| 1487958583 | Arizona Pharmacy, LLC | Pharmacy | 19636 N 27th Ave, Suite 104, Phoenix, AZ 85027-4013 | 2011-01-04 |
| 1205158029 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 19636 N 27th Ave, Suite 401, Phoenix, AZ 85027-4013 | 2010-02-20 |
| 1871727677 | North Valley Podiatry, LLC | Podiatrist | 19636 N 27th Ave, Suite 208, Phoenix, AZ 85027-4013 | 2009-05-07 |
| 1003056425 | Northwest Oncology & Hematology, Pllc | Internal Medicine | 19636 N 27th Ave, Suite 303, Phoenix, AZ 85027-4013 | 2009-02-25 |
| 1194997262 | Traikovich Cosmetic Surgery, P.C. | Otolaryngology | 19636 N 27th Ave, Ste 206, Phoenix, AZ 85027-4015 | 2008-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609038439 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 6036 N. 19th Ave, Suite 312, Phoenix, AZ 85015 | 2008-07-02 |
| 1306862255 | Rm Alliance Family Health Ctr Inc | Non-Pharmacy Dispensing Site | 13821 N 35th Dr Ste 1, Phoenix, AZ 85053-5541 | 2006-07-14 |
| 1891246773 | John C Lincoln, LLC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4013 | 2016-10-17 |
| 1720449689 | Arizona Urology Specialists, Pllc | Non-Pharmacy Dispensing Site | 1313 E Osborn Rd Ste 150, Phoenix, AZ 85014-5688 | 2016-03-18 |
| 1114333432 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-07-08 |
| 1033522370 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 19636 N 27th Ave, Suite 202, Phoenix, AZ 85027-4013 | 2014-06-04 |
| 1871906222 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 3811 E Bell Rd, Suite 100, Phoenix, AZ 85032-2138 | 2014-06-03 |
| 1316358013 | Banner Health | Non-Pharmacy Dispensing Site | 1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848 | 2014-05-15 |
| 1649690603 | Geriatric Specialties of Arizona PC | Non-Pharmacy Dispensing Site | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 | 2014-04-17 |
| 1154740348 | Afc of Phoenix, Pllc | Non-Pharmacy Dispensing Site | 2 N Central Ave, Suite 120, Phoenix, AZ 85004-2322 | 2014-04-15 |
| 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.