CHOICE SPINE AND PAIN, LLC (NPI# 1730625526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730625526 |
| Entity Type | Organization |
| Organization Name | CHOICE SPINE AND PAIN, LLC |
| Practice Address |
6424 E Broadway Rd Suite 102 Mesa AZ 85206-1750 |
| Practice Telephone | 4808343084 |
| Practice Fax Number | 4804520582 |
| Mailing Telephone | 4808343084 |
| Mailing Fax Number | 4804520582 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | VICKI BELT (OWNER) |
| Authorized Official Telephone | 4808343084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AZ | Ambulatory Health Care Facilities |
| Street Address |
6424 E BROADWAY RD SUITE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003821430 | Sanjeev Gopal | Internal Medicine | 6424 E Broadway Rd, 104-105, Mesa, AZ 85206-1750 | 2006-07-31 |
| 1518338326 | Elevate Anesthesia Services, Inc. | Anesthesiology | 6424 E Broadway Rd, Suite 102, Mesa, AZ 85206-1750 | 2015-10-20 |
| 1710322946 | Sun Electronic Brachytherapy Inc | Radiology | 6424 E Broadway Rd, Suite 104 & 105, Mesa, AZ 85206-1750 | 2013-05-01 |
| 1093947392 | Kay Marie Scala | Nurse Practitioner | 6424 E Broadway Rd, Suite 104, Mesa, AZ 85206-1750 | 2009-08-20 |
| 1801026893 | Bradley Carl Davis | Radiology | 6424 E Broadway Rd, Ste 101, Mesa, AZ 85206-1750 | 2009-07-23 |
| 1740450311 | Banner Baywood Surgery Center, Lp | Clinic/Center | 6424 E Broadway Rd, Suite 102, Mesa, AZ 85206-1750 | 2008-03-10 |
| 1356548507 | Michael M Long Md PC | Internal Medicine | 6424 E Broadway Rd, 104, Mesa, AZ 85206-1750 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735384 | Rembrandt Treatment Center LLC | Clinic/Center | 6859 E Rembrandt Ave Ste 101, Mesa, AZ 85212-3629 | 2020-09-22 |
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1760960405 | Bertha, LLC | Clinic/Center | 3850 E Baseline Rd Ste 117, Mesa, AZ 85206-4404 | 2018-08-03 |
| 1164930731 | Rembrandt Outpatient Surgery Center Pllc | Clinic/Center | 6859 E Rembrandt Ave Ste 114, Mesa, AZ 85212-3629 | 2018-01-17 |
| 1770093270 | Az Facility Services | Clinic/Center | 1839 S Alma School Rd Ste 354, Mesa, AZ 85210-3028 | 2017-10-10 |
| 1417479635 | Tcsc Ev LLC | Clinic/Center | 1114 S Higley Rd Ste 101, Mesa, AZ 85206-3000 | 2017-07-10 |
| 1972024917 | Trusted Care East Valley Az, LLC | Clinic/Center | 1114 S Higley Road Ste 101, Mesa, AZ 85206 | 2017-06-29 |
| 1477000602 | Discover Surgical Center LLC | Clinic/Center | 135 S Power Rd Ste 110, Mesa, AZ 85206-5245 | 2016-09-06 |
| 1275914186 | Verve Surgical Institute, Inc. | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2015-06-16 |
| 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.