THE PAIN CENTER OF ARIZONA, PC (NPI# 1477956621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477956621 |
| Entity Type | Organization |
| Organization Name | THE PAIN CENTER OF ARIZONA, PC |
| Other Organization Name | WEST PHX DME |
| Practice Address |
9250 W Thomas Rd Suite 200 Phoenix AZ 85037-3382 |
| Mailing Address |
5281 N 99th Ave Suite 100 Glendale AZ 85305-3105 |
| Practice Telephone | 6235168252 |
| Practice Fax Number | 6235168253 |
| Mailing Telephone | 6235168252 |
| Mailing Fax Number | 6235168253 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | CATHY HARDESTY (DIRECTOR OF ADMIN. OPERATIONS) |
| Authorized Official Telephone | 6232416101 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE PAIN CENTER OF ARIZONA, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| West Phx DME | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154780237 | The Pain Center of Arizona, PC | Clinical Medical Laboratory | 20333 N 19th Ave Ste 130, Phoenix, AZ 85027-3627 | 2016-02-17 |
| 1871650739 | The Pain Center of Arizona, PC | Anesthesiology | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027-3602 | 2007-01-02 |
| 1750873287 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 13967 W Grand Ave Ste 103, Surprise, AZ 85374-3732 | 2018-05-31 |
| 1639660459 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 3645 S Rome St Ste 216, Gilbert, AZ 85297-7338 | 2018-05-29 |
| 1548751365 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 3811 E Bell Rd Ste 100, Phoenix, AZ 85032-2158 | 2018-05-29 |
| 1053802991 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 1704 W Anklam Rd Ste 108, Tucson, AZ 85745-2656 | 2018-05-26 |
| 1710368410 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4233 | 2015-06-18 |
| 1720495146 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4233 | 2014-07-17 |
| 1902213325 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027 | 2014-07-17 |
| 1114333432 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-07-08 |
| Street Address |
9250 W THOMAS RD SUITE 200 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124009352 | Jon A King | Surgery | 9250 W Thomas Rd, Ste 250, Phoenix, AZ 85037-3382 | 2005-11-05 |
| 1114431905 | Travis Nichols | Psychologist | 9250 W Thomas Rd, Phoenix, AZ 85037-3382 | 2017-12-01 |
| 1033623285 | Jordan Butay | Physical Therapist | 9250 W Thomas Rd, Phoenix, AZ 85037-3382 | 2017-11-27 |
| 1821471913 | Arizona Surgical Specialists Center, LLC | Clinic/Center | 9250 W Thomas Rd, Suite 220, Phoenix, AZ 85037-3382 | 2015-07-07 |
| 1114333432 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-07-08 |
| 1891031019 | Manjit K Wright | Physician Assistant | 9250 W Thomas Rd, Suite 100, Phoenix, AZ 85037-3382 | 2012-12-15 |
| 1063767739 | Estrella Mountain Dialysis LLC | Clinic/Center | 9250 W Thomas Rd, Suite 120, Phoenix, AZ 85037-3382 | 2012-07-19 |
| 1477824894 | Alice Mustapha Amara | Nurse Practitioner | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2012-01-17 |
| 1770787863 | David Wayne Smith | Surgery | 9250 W Thomas Rd, Suite 250, Phoenix, AZ 85037-3382 | 2007-06-12 |
| 1497959589 | Ravia Bokhari | Surgery | 9250 W Thomas Rd, Ste 250, Phoenix, AZ 85037-3382 | 2007-06-12 |
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| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
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| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
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| 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. |
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| 1528675469 | Antelope Works, LLC | Durable Medical Equipment & Medical Supplies | 2601 N 3rd St Ste 200, Phoenix, AZ 85004-1145 | 2020-09-24 |
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1013536630 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 10844 N 23rd Ave Ste P125, Phoenix, AZ 85029-4924 | 2020-04-14 |
| 1376162073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4136 North 75th Ave, Suite 116, Room P, Phoenix, AZ 85033 | 2020-04-13 |
| 1689293367 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1515 E Osborn Rd Ste P1, Phoenix, AZ 85014-5309 | 2020-04-13 |
| 1619596319 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1840 N 95th Ave Ste 132p, Phoenix, AZ 85037-4445 | 2020-04-13 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1659915908 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2311 W Royal Palm Rd Ste P, Phoenix, AZ 85021-4916 | 2019-10-30 |
| 1255972295 | Arizona Dental Health Partners LLC | Durable Medical Equipment & Medical Supplies | 3134 W Carefree Hwy Ste 9, Phoenix, AZ 85086-4001 | 2019-10-01 |
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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.