ARIZONA SPINE AND PAIN SPECIALISTS, LLC (NPI# 1578025011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578025011 |
| Entity Type | Organization |
| Organization Name | ARIZONA SPINE AND PAIN SPECIALISTS, LLC |
| Practice Address |
1950 S Country Club Dr Ste 102 Mesa AZ 85210-6044 |
| Mailing Address |
20280 N 59th Ave # 115-617 Glendale AZ 85308-6850 |
| Practice Telephone | 6027958700 |
| Practice Fax Number | 6027958701 |
| Mailing Telephone | 6027958700 |
| Mailing Fax Number | 6027958701 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | PATRICK WILLIAM HOGAN (OWNER) |
| Authorized Official Telephone | 6027958700 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093277535 | Arizona Spine and Pain Specialists, LLC | Durable Medical Equipment & Medical Supplies | 10565 N Tatum Blvd Ste B116, Paradise Valley, AZ 85253-1095 | 2019-04-03 |
| 1992273205 | Arizona Spine and Pain Specialists, LLC | Durable Medical Equipment & Medical Supplies | 2222 E Highland Ave Ste 220, Phoenix, AZ 85016-4876 | 2018-11-05 |
| Street Address |
1950 S COUNTRY CLUB DR STE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-6044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134299662 | Michael J Mccauley Md PC | Specialist | 1950 S Country Club Dr Ste 102, Mesa, AZ 85210-6044 | 2006-11-09 |
| 1477972461 | Austin Horrocks | Anesthesiology | 1950 S Country Club Dr Ste 102, Mesa, AZ 85210 | 2014-04-08 |
| 1962837245 | James Cagney Bigham | Physician Assistant | 1950 S Country Club Dr Ste 102, Suite 138, Mesa, AZ 85210-6044 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| 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 |
|---|---|---|---|---|
| 1679189765 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 3130 E Baseline Rd Ste 101, Mesa, AZ 85204-7290 | 2020-09-23 |
| 1528678901 | Maurice Valeriano | Durable Medical Equipment & Medical Supplies | 505 W 8th Ave Ste 12a, Mesa, AZ 85210-3541 | 2020-07-31 |
| 1356966105 | Wound Pros Arizona | Durable Medical Equipment & Medical Supplies | 1910 S. Stapley Drive, Suite 221, Mesa, AZ 85204-6680 | 2020-06-08 |
| 1457972010 | K & K Investments Inc | Durable Medical Equipment & Medical Supplies | 5540 E Broadway Rd Ste 8, Mesa, AZ 85206-1440 | 2020-05-05 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1679125009 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 2140 W Broadway Rd Bldg 7, Mesa, AZ 85202-1895 | 2019-07-16 |
| 1861058810 | Rita Marie Burnette | Durable Medical Equipment & Medical Supplies | 323 E Brown Rd Ste 204, Mesa, AZ 85201-3544 | 2019-05-15 |
| 1023673472 | First Choice Respiratory | Durable Medical Equipment & Medical Supplies | 1940 W Baseline Rd Ste 8, Mesa, AZ 85202-9066 | 2019-05-01 |
| 1063980662 | Southwestern Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 1121 S Gilbert Rd Ste 103, Mesa, AZ 85204-5235 | 2018-11-13 |
| 1811404254 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 2225 W Southern Ave Bldg 100, Mesa, AZ 85202-4716 | 2018-01-08 |
| Find all providers in MESA | ||||
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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.