JACK ANDERSON (NPI# 1659338887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659338887 |
| Entity Type | Individual |
| Full Name | JACK ANDERSON |
| Credential | MD |
| Practice Address |
9787 N 91st St Ste 101 Scottsdale AZ 85258-5088 |
| Practice Telephone | 4805636400 |
| Practice Fax Number | 4805638009 |
| Mailing Telephone | 4805636400 |
| Mailing Fax Number | 4805638009 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2012-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 24265 | OK | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
45727 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200055660A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254603 | Jack Anderson | Technician | 14810 La Mesa Rd, Victorville, CA 92392-8639 | 2019-09-14 |
| 1154523470 | Jack Anderson | Chiropractor | 226 E 29th St Unit B, Loveland, CO 80538-2825 | 2007-05-31 |
| 1881166775 | Jack Raymond Anderson | Surgery | 1730 W 25th St, Cleveland, OH 44113-3108 | 2018-12-18 |
| 1245527969 | Jack D Anderson | Family Medicine | 1515 Edmonton Rd, Tompkinsville, KY 42167-9402 | 2011-07-01 |
| 1134330947 | Jack Glenn Anderson | Psychologist | 200 E Del Mar Blvd, Suite 122, Pasadena, CA 91105-2544 | 2007-05-24 |
| 1609948223 | Jack Martin Anderson | Pediatrics | 3003 Health Center Dr, San Diego, CA 92123-2700 | 2006-11-15 |
| 1417976234 | Jack D Anderson | Pediatrics | 7030 Pineville Matthews Rd, Charlotte, NC 28226-8298 | 2006-07-19 |
| 1992737522 | Jack Anderson | Internal Medicine | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2006-07-06 |
| 1811964000 | Jack W. Anderson | Anesthesiology | 470 Taylor Rd, Montgomery, AL 36117-3563 | 2006-03-07 |
| Street Address |
9787 N 91ST ST STE 101 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85258-5088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558923227 | Jana Michelle Haney | Family Medicine | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2019-07-02 |
| 1366964108 | Laura Newsom | Nurse Practitioner | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2017-07-13 |
| 1982096418 | Camilla Binks | Nurse Practitioner | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2015-02-20 |
| 1508150988 | Richard Frank Holt | Physical Medicine & Rehabilitation | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2011-06-03 |
| 1194987545 | Stacie Gooch Michaelis | Anesthesiology | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| 1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
| 1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
| 1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| Find all providers in zip 85258 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241079 | Saguaro Treatment Center | Pain Medicine | 5533 E. Bell Rd #111, Scottsdale, AZ 85254 | 2018-07-06 |
| 1265885396 | Painmed LLC | Pain Medicine | 7337 E Thomas Rd, Scottsdale, AZ 85251-7215 | 2016-07-13 |
| 1396034625 | Arizona Pain Center LLC | Pain Medicine | 8787 E Mountain View Rd, Unit 1025, Scottsdale, AZ 85258-1452 | 2011-04-07 |
| 1306012901 | Okky Tjhing Siong Oei | Pain Medicine | 15030 N Hayden Rd Ste 120, Scottsdale, AZ 85260-2564 | 2008-05-02 |
| 1265539860 | Steve Fanto | Pain Medicine | 7320 E Deer Valley, J100, Scottsdale, AZ 85255 | 2006-09-19 |
| 1891173415 | Arizona Center for Pain Relief, Pllc | Pain Medicine | 9015 E Pima Center Pkwy, Suite 1, Scottsdale, AZ 85258-4613 | 2015-05-14 |
| 1669891727 | Paolo Gabriel Jorge | Pain Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2014-04-15 |
| 1952653255 | Trivita Professional Wellness | Pain Medicine | 16100 N Greenway Hayden Loop, G-100, Scottsdale, AZ 85260-1652 | 2012-10-10 |
| 1275670408 | Aten Corporation | Pain Medicine | 3337 N Miller Rd, Ste. 102, Scottsdale, AZ 85251-6495 | 2007-01-30 |
| 1235220146 | Stephen Glacy | Pain Medicine | 9787 N 91st St, Suite 101, Scottsdale, AZ 85258-5088 | 2006-09-27 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85258 |
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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.