NOVASPINE PAIN INSTITUTE, PLC (NPI# 1356896138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356896138 |
| Entity Type | Organization |
| Organization Name | NOVASPINE PAIN INSTITUTE, PLC |
| Practice Address |
3645 S Rome St Ste 204 Gilbert AZ 85297-7338 |
| Mailing Address |
Po Box 12510 Chandler AZ 85248-0026 |
| Practice Telephone | 4807714400 |
| Practice Fax Number | 4807714381 |
| Mailing Telephone | 4803728312 |
| Mailing Fax Number | 4807714381 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | DR. DAVID K TOM (OWNER) |
| Authorized Official Telephone | 4803728312 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 42990 | AZ | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124579628 | Novaspine Pain Institute, Plc | Durable Medical Equipment & Medical Supplies | 13203 N 103rd Ave, Suite H5, Sun City, AZ 85351-3028 | 2016-10-19 |
| 1154745263 | Novaspine Pain Institute, Plc | Anesthesiology | 14300 W Granite Valley Dr Ste A1, Sun City West, AZ 85375-5797 | 2014-02-10 |
| Street Address |
3645 S ROME ST STE 204 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-7338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043491988 | David Kee Tom | Anesthesiology | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2007-11-20 |
| 1871085902 | Ocotillo Treatment Center, LLC | Clinic/Center | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2018-06-04 |
| 1659781771 | Novaspine Pain Institute Plc | Durable Medical Equipment & Medical Supplies | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2014-04-28 |
| 1144645656 | Integrated Anesthesia Consultants Plc | Anesthesiology | 3645 S Rome St Ste 204, Gilbert, AZ 85297 | 2014-02-20 |
| 1972927440 | Shelly Harford X | Physician Assistant | 3645 S Rome St Ste 204, Gilbert, AZ 85297 | 2014-02-04 |
| 1053756403 | Melissa Marie Pannell | Registered Nurse | 3645 S Rome St Ste 204, Gilbert, AZ 85297 | 2013-04-29 |
| 1225377898 | Joycelyn Ann Connet | Nurse Practitioner | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2013-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753540 | Smith's Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 4075 E Williams Field Rd, Gilbert, AZ 85295-1142 | 2020-09-04 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1316568785 | Aszlan | Durable Medical Equipment & Medical Supplies | 1501 E Baseline Rd, Gilbert, AZ 85233-1297 | 2020-04-27 |
| 1316566037 | Michele Lee Ellsworth | Durable Medical Equipment & Medical Supplies | 4542 E Olive Ave, Gilbert, AZ 85234-7606 | 2020-04-13 |
| 1497399935 | Direct Mobility LLC | Durable Medical Equipment & Medical Supplies | 3240 E Greenview Dr, Gilbert, AZ 85298-4309 | 2019-10-28 |
| 1467016733 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 275 E Germann Rd Ste 110, Gilbert, AZ 85297-2916 | 2019-04-23 |
| 1205323805 | Desertmed Supply LLC | Durable Medical Equipment & Medical Supplies | 1458 N Higley Rd Ste 102, Gilbert, AZ 85234-1611 | 2018-04-18 |
| 1952765844 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 220 E. Germann Rd, Suite 110, Gilbert, AZ 85297 | 2016-04-07 |
| 1548661929 | Stay Mobile LLC | Durable Medical Equipment & Medical Supplies | 3123 E Wildhorse Ct, Gilbert, AZ 85297-2157 | 2014-09-04 |
| 1215371638 | L2g LLC | Durable Medical Equipment & Medical Supplies | 3791 E Jasper Dr, Gilbert, AZ 85296-8251 | 2013-04-29 |
| Find all providers in GILBERT | ||||
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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.