PAINCARE OF ARIZONA, LLC (NPI# 1861689986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861689986 |
| Entity Type | Organization |
| Organization Name | PAINCARE OF ARIZONA, LLC |
| Practice Address |
10815 W Mcdowell Rd Suite 304 Avondale AZ 85392-5007 |
| Practice Telephone | 6234330199 |
| Practice Fax Number | 6234330198 |
| Mailing Telephone | 6234330199 |
| Mailing Fax Number | 6234330198 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |
| Authorized Official Name | SKY MOORE (OWNER) |
| Authorized Official Telephone | 6023322338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
OTC4249 | AZ | Ambulatory Health Care Facilities |
| Street Address |
10815 W MCDOWELL RD SUITE 304 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144212721 | Riyaz A Sumar | Specialist | 10815 W Mcdowell Rd, Suite 202, Avondale, AZ 85392-5007 | 2005-08-18 |
| 1538400692 | Alaina Anne Vacco | Physician Assistant | 10815 W Mcdowell Rd, Suite 305, Avondale, AZ 85392-5007 | 2013-03-13 |
| 1952652141 | Thomas Michael Martin | Physician Assistant | 10815 W Mcdowell Rd, Suite 305, Avondale, AZ 85392-5007 | 2012-09-27 |
| 1942597307 | Adam K Griffin | Physical Therapist | 10815 W Mcdowell Rd, Suite 203, Avondale, AZ 85392-5007 | 2011-07-06 |
| 1720211022 | Smi Imaging, LLC | Radiology | 10815 W Mcdowell Rd, Suite 102, Avondale, AZ 85392-5007 | 2009-09-02 |
| 1598996894 | Surgical Elite of Avondale, LLC | Clinic/Center | 10815 W Mcdowell Rd, Suite 101, Avondale, AZ 85392 | 2009-08-04 |
| 1093955908 | Arun S. Patil | Internal Medicine | 10815 W Mcdowell Rd, Suite 202, Avondale, AZ 85392 | 2009-03-05 |
| 1861649998 | Arizona Academy of Health and Performance LLC | Physical Therapist | 10815 W Mcdowell Rd, Ste 304, Avondale, AZ 85392-5007 | 2008-08-20 |
| 1497917660 | Paincare Health Institute LLC | Pain Medicine | 10815 W Mcdowell Rd, Ste 304, Avondale, AZ 85392-5007 | 2008-06-30 |
| 1215195284 | Paincare Health Institute LLC | Clinic/Center | 10815 W Mcdowell Rd, Ste 304, Avondale, AZ 85392-5007 | 2008-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699966762 | Lilien Vogl Od PC | Clinic/Center | 10750 W. Mc Dowell Rd., Bldg A #100, Avondale, AZ 85392-5651 | 2007-08-05 |
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|---|---|---|---|---|
| 1578179735 | Az Neurosurgery & Spine, Pllc | Clinic/Center | 371 Garden St # A-27, Prescott, AZ 86305-2914 | 2020-09-22 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1073133583 | American Medical Center P.C. | Clinic/Center | 8417 E Mcdowell Rd Ste 101, Scottsdale, AZ 85257-3917 | 2020-04-24 |
| 1649809039 | Orthopedic Specialists of North America Pllc | Clinic/Center | 16838 E Palisades Blvd Ste C152, Fountain Hills, AZ 85268-3790 | 2020-04-07 |
| 1790319564 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 6145 W Chandler Blvd Ste 3, Chandler, AZ 85226-3425 | 2020-03-02 |
| 1932733714 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 13613 W Camino Del Sol Ste 1, Sun City West, AZ 85375-4480 | 2020-03-02 |
| 1083248850 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2755 Silver Creek Rd Ste 205, Bullhead City, AZ 86442-8347 | 2020-03-02 |
| 1508490376 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2116 N Stockton Hill Rd Ste F, Kingman, AZ 86401-4600 | 2020-03-02 |
| 1629546130 | Josh Vella, M.d., Pllc | Clinic/Center | 3200 E Camelback Rd Ste 180, Phoenix, AZ 85018-2326 | 2018-11-02 |
| 1366919714 | Bianca J Vazquez Md Pllc | Clinic/Center | 10250 N 92nd St Ste 205, Scottsdale, AZ 85258-4519 | 2018-10-24 |
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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.