CAREFREE PAIN CLINIC LLC (NPI# 1417255621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417255621 |
| Entity Type | Organization |
| Organization Name | CAREFREE PAIN CLINIC LLC |
| Practice Address |
7208 E. Cave Creek Rd. Suite F Carefree AZ 85377 |
| Mailing Address |
Po Box 232 Cave Creek AZ 85327-0232 |
| Practice Telephone | 4804881282 |
| Practice Fax Number | 4804889040 |
| Mailing Telephone | 4804881282 |
| Mailing Fax Number | 4804889040 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |
| Authorized Official Name | JURGEN OLTJENBRUNS (OWNER) |
| Authorized Official Telephone | 4804881282 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OTC4954 | AZ | Ambulatory Health Care Facilities |
| Street Address |
7208 E. CAVE CREEK RD. SUITE F |
| City | CAREFREE |
| State | AZ |
| Zip Code | 85377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579913 | Patricia Lillian Miller | Counselor | 36809 N Dream St, Carefree, AZ 85377 | 2020-05-07 |
| 1023658127 | Carefree Manor Assisted Living LLC | Residential Treatment Facility, Physical Disabilities | 7886 E Breathless Dr, Carefree, AZ 85377 | 2020-01-07 |
| 1457997744 | Dream Street Care LLC | Custodial Care Facility | 37412 N Dream Street, Carefree, AZ 85377 | 2019-11-21 |
| 1083189112 | Naomi Nicole Jimenez | Nurse Practitioner | 36889 N. Tom Darlington Dr. A4, Carefree, AZ 85377 | 2018-10-04 |
| 1982114385 | Primary Care Medical Group, LLC | General Practice | 36600 N. Pima Road, Ste 307, Carefree, AZ 85377 | 2017-10-11 |
| 1861917379 | Shauna Leigh Epperson | Physical Therapist | 36600 N Pima Rd #406, Carefree, AZ 85377 | 2017-08-04 |
| 1982139804 | Kaylee Paciora | Dietitian, Registered | 36800 N. Sidewinder Rd, A4, Carefree, AZ 85377 | 2017-04-28 |
| 1508308909 | Colleen Payne | Nurse Practitioner | 36800 N. Sidewinder Road, Ste A4, Carefree, AZ 85377 | 2016-11-16 |
| 1598148223 | Kenneth Kearns | Obstetrics & Gynecology | 36600 N. Pima Rd, Carefree, AZ 85377 | 2015-06-30 |
| 1699178020 | Faiza Malik | Pharmacist | 5400 East Carefree Highway, Carefree, AZ 85377 | 2014-09-30 |
| Find all providers in zip 85377 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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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.