FORTITUDE HEALTHCARE, LLC


Address: 5133 N Central Ave Ste 204, Phoenix, AZ 85012-1438
Phone: 6022790044

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 5133 N CENTRAL AVE STE 204
City PHOENIX
State AZ
Zip Code 85012-1438

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PHOENIX
Zip Code 85012

Improve Information

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Dataset Information

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.

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