FORTITUDE HEALTHCARE, LLC (NPI# 1225514888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225514888 |
Entity Type | Organization |
Organization Name | FORTITUDE HEALTHCARE, LLC |
Practice Address |
5133 N Central Ave Ste 204 Phoenix AZ 85012-1438 |
Practice Telephone | 6022790044 |
Practice Fax Number | 6022790088 |
Mailing Telephone | 6022790044 |
Mailing Fax Number | 6022790088 |
Enumeration Date | 2018-07-17 |
Last Update Date | 2018-10-08 |
Authorized Official Name | NIKKI VAUGHAN (ADMINISTRATOR) |
Authorized Official Telephone | 6022790044 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
5133 N CENTRAL AVE STE 204 |
City | PHOENIX |
State | AZ |
Zip Code | 85012-1438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
Find all providers in zip 85012 |
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 |
1043850324 | Tatum Professional Group LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-01-14 |
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 |
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.