Ketamine America Llc is a Interventional Pain Medicine Physician based in Mesa, AZ and is specialized in Interventional Pain Medicine. Ketamine America Llc practices in Mesa, AZ. The NPI Number for Ketamine America Llc is 1053985986 and holds a License No. (Arizona).
The current practice location address for Ketamine America Llc is 4838 E Baseline Rd Ste 110, Mesa, AZ and can be reached out via phone at 480-426-0767 and via fax at 480-436-6611.
Location: 4838 E Baseline Rd Ste 110, Mesa, AZ, 85206-4674
Provider Profile Details
NPI Number
1053985986
Provider Name
Ketamine America Llc
Credential
Provider Entity Type
Organization
Address
4838 E Baseline Rd Ste 110, Mesa, AZ, 85206-4674
Phone Number
480-426-0767
Fax Number
480-436-6611
Provider Enumeration Date
05/15/2021
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
4838 E Baseline Rd Ste 110
City
State
Zip
85206-4674
Phone Number
480-426-0767
Fax Number
480-436-6611
Provider Business Mailing Address Details
Address
4838 E Baseline Rd Ste 110
City
State
Zip
85206-4674
Phone Number
480-426-0767
Fax Number
480-436-6611
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
License No.
()
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
License No.
()
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
License No.
()
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Pain Medicine
Taxonomy
License No.
()
Definition
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.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
License No.
()
Definition
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.
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