PC PAIN DOCTORS, PLLC (NPI# 1124271861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124271861 |
| Entity Type | Organization |
| Organization Name | PC PAIN DOCTORS, PLLC |
| Practice Address |
1821 N Trekell Rd Ste A3 Casa Grande AZ 85122-1705 |
| Practice Telephone | 5204210986 |
| Practice Fax Number | 5204212009 |
| Mailing Telephone | 5204210986 |
| Mailing Fax Number | 5204212009 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | JESSICA HANEY (BUSINESS MANAGER) |
| Authorized Official Telephone | 5204210986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
2951 | AZ | Ambulatory Health Care Facilities |
| Street Address |
1821 N TREKELL RD STE A3 |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871525634 | Thomas E Masters | Neuromusculoskeletal Medicine, Sports Medicine | 1821 N Trekell Rd Ste A3, Casa Grande, AZ 85122-1705 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932717550 | Regenthetics, LLC | Clinic/Center | 903 E State Highway 260 Ste 4, Payson, AZ 85541-4972 | 2020-07-20 |
| 1336786003 | Guadalupe Pain Ventures LLC | Clinic/Center | 1450 W Guadalupe Rd Ste 24, Gilbert, AZ 85233-3042 | 2019-12-02 |
| 1376020685 | Andoloris Medical, Pllc | Clinic/Center | 3417 N 32nd St Ste B, Phoenix, AZ 85018-5606 | 2018-07-19 |
| 1427557255 | United Pain Institute, Inc | Clinic/Center | 4838 E Baseline Rd Ste 109, Mesa, AZ 85206-4671 | 2018-02-07 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1356879993 | Smith Chiropractic Pllc | Clinic/Center | 3200 S Rural Rd Ste 3, Tempe, AZ 85282-3870 | 2017-05-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1336506419 | Arizona Headache Center, Pllc | Clinic/Center | 8591 E Bell Rd Ste 100, Scottsdale, AZ 85260-1305 | 2016-01-21 |
| 1417322504 | Respira LLC | Clinic/Center | 1733 E Louis Way, Tempe, AZ 85284-1676 | 2015-12-01 |
| 1679906176 | Spine & Sports Rehabilitation Institute | Clinic/Center | 2600 E. Southern Ave., I-1, Tempe, AZ 85282-7738 | 2013-08-20 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on PC PAIN DOCTORS, PLLC.
| 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.