THE PAIN CENTER OF ARIZONA, PC (NPI# 1871650739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871650739 |
| Entity Type | Organization |
| Organization Name | THE PAIN CENTER OF ARIZONA, PC |
| Other Organization Name | THE PAIN CENTER OF ARIZONA |
| Practice Address |
20333 N 19th Ave Ste 100 Phoenix AZ 85027-3602 |
| Mailing Address |
5281 N 99th Ave Ste 100 Glendale AZ 85305-2209 |
| Practice Telephone | 6235168252 |
| Practice Fax Number | 6235168253 |
| Mailing Telephone | 6235168252 |
| Mailing Fax Number | 6235168253 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | CATHY HARDESTY (DIRECTOR-ADMIN OPS) |
| Authorized Official Telephone | 6232416101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Pain Center of Arizona | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154780237 | The Pain Center of Arizona, PC | Clinical Medical Laboratory | 20333 N 19th Ave Ste 130, Phoenix, AZ 85027-3627 | 2016-02-17 |
| 1750873287 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 13967 W Grand Ave Ste 103, Surprise, AZ 85374-3732 | 2018-05-31 |
| 1639660459 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 3645 S Rome St Ste 216, Gilbert, AZ 85297-7338 | 2018-05-29 |
| 1548751365 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 3811 E Bell Rd Ste 100, Phoenix, AZ 85032-2158 | 2018-05-29 |
| 1053802991 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 1704 W Anklam Rd Ste 108, Tucson, AZ 85745-2656 | 2018-05-26 |
| 1710368410 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4233 | 2015-06-18 |
| 1477956621 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-10-02 |
| 1720495146 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4233 | 2014-07-17 |
| 1902213325 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027 | 2014-07-17 |
| 1114333432 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-07-08 |
| Street Address |
20333 N 19TH AVE STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487219317 | Roger Albert Conant | Nurse Practitioner | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027-3602 | 2019-05-06 |
| 1215436233 | Lisa Teresa Greene | Nurse Practitioner | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027-3602 | 2018-02-05 |
| 1205351723 | Hyon Wilson | Nurse Practitioner | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027-3602 | 2017-08-04 |
| 1588194963 | Jennifer Dawn Sutton | Nurse Practitioner | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027-3602 | 2017-06-18 |
| 1902213325 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| 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.