- Practice location
- 2563 S Val Vista Dr Ste 101B, Gilbert, AZ 85295-6231
- Phone
- 480-573-0130
- Fax
- 480-573-0131
- Last updated
- April 1, 2022
Advanced Spine And Pain LLC is a healthcare organization based in Gilbert, AZ. Advanced Spine And Pain LLC practices in Gilbert, AZ. The NPI Number for Advanced Spine And Pain LLC is 1487394888. The current practice location address for Advanced Spine And Pain LLC is 2563 S Val Vista Dr Ste 101B, Gilbert, AZ 85295-6231 and can be reached out via phone at 480-573-0130 and via fax at 480-573-0131.
Provider Profile Details
- NPI Number
- 1487394888
- Provider Name
- Advanced Spine And Pain LLC
- Provider Entity Type
- Organization
- Address
- 2563 S Val Vista Dr Ste 101B, Gilbert, AZ 85295-6231
- Phone Number
- 480-573-0130
- Fax Number
- 480-573-0131
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Jarrett Michael Leathem · DO Owner · 860-670-2412
- Provider Enumeration Date
- April 1, 2022
- Last Update Date
- April 1, 2022
- Certification Date
- April 1, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2563 S Val Vista Dr Ste 101B
Gilbert, AZ 85295-6231 - City
- Gilbert
- State
- Arizona
- Zip
- 85295-6231
- Phone Number
- 480-573-0130
- Fax Number
- 480-573-0131
Provider Business Mailing Address Details
- Address
- 2525 W Greenway RD Ste 125
Phoenix, AZ 85023-4226 - City
- Phoenix
- State
- AZ
- Zip
- 85023-4226
- Phone Number
- 937-206-0377
License Information
- Taxonomy (1)
- Chiropractor · 111N00000X
- Taxonomy (2)
- Anesthesiology · 207L00000X
- Taxonomy (3)
- Anesthesiology, Pain Medicine · 207LP2900X
- Taxonomy (4)
- Orthopaedic Surgery · 207X00000X
- Taxonomy (5)
- Internal Medicine, Interventional Cardiology · 207RI0011X
- Taxonomy (6)
- Pain Medicine, Interventional Pain Medicine · 208VP0014X
- Taxonomy (7)
- Physician Assistant · 363A00000X
- Taxonomy (8)
- Nurse Practitioner · 363L00000X
- Taxonomy (9)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Advanced Spine And Pain LLC?
The NPI number of Advanced Spine And Pain LLC is 1487394888. It was assigned on April 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Advanced Spine And Pain LLC?
Advanced Spine And Pain LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).
Where does Advanced Spine And Pain LLC practice?
The practice location is 2563 S Val Vista Dr Ste 101B, Gilbert, AZ 85295-6231. The office can be reached at 480-573-0130 (phone) or 480-573-0131 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487394888 directly on the NPPES registry website.