DYNAMIC PAIN MANAGEMENT PLLC (NPI# 1740636687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740636687 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PAIN MANAGEMENT PLLC |
| Practice Address |
4045 E Bell Rd Ste 149 Phoenix AZ 85032-2239 |
| Mailing Address |
10810 N Tatum Blvd Ste 102-302 Phoenix AZ 85028-6055 |
| Practice Telephone | 6027950207 |
| Mailing Telephone | 4243220980 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | DR. THOMAS MOSHIRI (DIRECTOR) |
| Authorized Official Telephone | 4243220980 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
34825 | AZ | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
34825 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10810 N Tatum Blvd, Ste 102-302, Phoenix, AZ 85028 | 6023732025 |
| Street Address |
4045 E BELL RD STE 149 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245916 | Bell Monitoring LLC | Psychiatry & Neurology | 4045 E Bell Rd Ste 149, Phoenix, AZ 85032-2239 | 2019-10-01 |
| 1508303710 | Titanium Anesthesia Services Pllc | Psychiatry & Neurology | 4045 E Bell Rd Ste 149, Phoenix, AZ 85032-2239 | 2017-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679070379 | Dessert Ridge Professional LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2018-04-09 |
| 1982124582 | Phoenix Pain Treatment Centers, Pllc | Pain Medicine | 9140 W Thomas Rd Ste B-106, Phoenix, AZ 85037-3378 | 2017-06-23 |
| 1831535350 | Ankit Patel | Pain Medicine | 1641 E Osborn Rd Ste 6, Phoenix, AZ 85016-7146 | 2013-05-13 |
| 1578181137 | Innovative Pain and Wellness Plc | Pain Medicine | 2340 E Beardsley Rd Ste 120, Phoenix, AZ 85024-1286 | 2020-07-10 |
| 1265052989 | Biltmore Med Group LLC | Pain Medicine | 3001 E Camelback Rd Ste 155, Phoenix, AZ 85016-4433 | 2020-04-22 |
| 1083246805 | Dv Professional Group LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-02-10 |
| 1043850324 | Tatum Professional Group LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2020-01-14 |
| 1720549090 | Virtuous Medical Associates, LLC | Pain Medicine | 2730 W Agua Fria Fwy Ste 103, Phoenix, AZ 85027-7202 | 2019-03-28 |
| 1114499472 | Iridium Pain Management Pllc | Pain Medicine | 4045 E Bell Rd Ste 147, Phoenix, AZ 85032-2239 | 2018-12-27 |
| 1013489350 | Pain Solutions of Arizona Pllc | Pain Medicine | 9140 W Thomas Rd Ste B-106, Phoenix, AZ 85037-3378 | 2018-12-27 |
| Find all providers in PHOENIX | ||||
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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.