GLENDALE PAIN TREATMENT CENTER (NPI# 1962017038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962017038 |
| Entity Type | Organization |
| Organization Name | GLENDALE PAIN TREATMENT CENTER |
| Practice Address |
18301 N 79th Ave Ste F168 Glendale AZ 85308-6045 |
| Practice Telephone | 6026750478 |
| Practice Fax Number | 6026750479 |
| Mailing Telephone | 6026750478 |
| Mailing Fax Number | 6026750479 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | SETH CLARK (OWNER) |
| Authorized Official Telephone | 8014484841 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
18301 N 79TH AVE STE F168 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341005 | Diana Steiner | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-01-31 |
| 1396396743 | Union Hills Treatment Center | Clinic/Center | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-09-26 |
| 1316504574 | Foot & Ankle Specialists of Arizona | Podiatrist | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-05-23 |
| 1720645211 | Michael Allen White | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-05-21 |
| 1801358080 | Crystal Lynn Mccabe | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-04-05 |
| 1316409154 | Christopher Andrew Stewart | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| 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 |
|---|---|---|---|---|
| 1962949354 | Waheeda Siddiqui Ahmed | Pain Medicine | 18185 N 83rd Ave Ste 107, Glendale, AZ 85308-0520 | 2017-01-24 |
| 1457581795 | John C. Porter Md PC | Pain Medicine | 12238 N 45th Ln, Glendale, AZ 85304-2312 | 2009-07-21 |
| 1508022070 | Christine Harter Md PC | Pain Medicine | 6320 W Union Hills Dr Ste A180, Glendale, AZ 85308 | 2008-08-04 |
| 1134202013 | Queens Medical Pain Mgmt PC | Pain Medicine | 8340 Woodhaven Boulevard, Glendale, NY 11385 | 2006-10-23 |
| 1114450962 | Jodi Lyn Lay | Pain Medicine | 5700 W Olive Ave Ste 102, Glendale, AZ 85302-3147 | 2017-04-09 |
| 1235417486 | Integrated Pain and Health Center, Sc | Pain Medicine | 5261 N Port Washington Rd, Suite 101, Glendale, WI 53217-4903 | 2011-07-21 |
| 1659503332 | Api Acquisition Corporation | Pain Medicine | 5750 W Thunderbird Rd, Suite E-580, Glendale, AZ 85306-4660 | 2009-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992364665 | Style Therapeutics | Pain Medicine | 10645 N Tatum Blvd # 200-643, Phoenix, AZ 85028-3068 | 2019-06-06 |
| 1497241079 | Saguaro Treatment Center | Pain Medicine | 5533 E. Bell Rd #111, Scottsdale, AZ 85254 | 2018-07-06 |
| 1427574284 | Hang Doan | Pain Medicine | 12640 W Bethany Home Rd, Litchfield Park, AZ 85340-9599 | 2017-08-14 |
| 1265885396 | Painmed LLC | Pain Medicine | 7337 E Thomas Rd, Scottsdale, AZ 85251-7215 | 2016-07-13 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1780943456 | Desert Rose Neurology | Pain Medicine | 2480 E Wilcox Dr, Sierra Vista, AZ 85635-2841 | 2012-05-15 |
| 1356614176 | Allen Family Medicine Pllc | Pain Medicine | 7233 E Baseline Rd, Ste 126, Mesa, AZ 85209-5007 | 2012-02-10 |
| 1467730135 | Jose M. Chavez | Pain Medicine | 1704 W Anklam Rd Ste 108, Tucson, AZ 85745-2656 | 2011-07-29 |
| 1396034625 | Arizona Pain Center LLC | Pain Medicine | 8787 E Mountain View Rd, Unit 1025, Scottsdale, AZ 85258-1452 | 2011-04-07 |
| 1750692372 | Valley Integrated Medicine, LLC | Pain Medicine | 6036 N 19th Ave Ste 405, Phoenix, AZ 85015-2142 | 2010-06-29 |
| Find all providers with the same taxonomy | ||||
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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.