- Practice location
- 15571 N Reems RD Bldg D, Surprise, AZ 85374-9584
- Phone
- 480-573-0130
- Fax
- —
- Last updated
- December 14, 2021
Advanced Spine And Pain LLC is a healthcare organization based in Surprise, AZ. Advanced Spine And Pain LLC practices in Surprise, AZ. The NPI Number for Advanced Spine And Pain LLC is 1659030005. The current practice location address for Advanced Spine And Pain LLC is 15571 N Reems RD Bldg D, Surprise, AZ 85374-9584 and can be reached out via phone at 480-573-0130.
Provider Profile Details
- NPI Number
- 1659030005
- Provider Name
- Advanced Spine And Pain LLC
- Provider Entity Type
- Organization
- Address
- 15571 N Reems RD Bldg D, Surprise, AZ 85374-9584
- Phone Number
- 480-573-0130
- Primary Taxonomy
- Pain Medicine, Interventional Pain Medicine · 208VP0014X
- Organization Subpart
- No
- Authorized Official
- Jarrett Michael Leathem · DO, Owner · 480-573-0130
- Provider Enumeration Date
- December 14, 2021
- Last Update Date
- December 14, 2021
- Certification Date
- December 14, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15571 N Reems RD Bldg D
Surprise, AZ 85374-9584 - City
- Surprise
- State
- Arizona
- Zip
- 85374-9584
- Phone Number
- 480-573-0130
Provider Business Mailing Address Details
- Address
- Po Box 29901, Department Id 975
Phoenix, AZ 85038-0901 - City
- Phoenix
- State
- AZ
- Zip
- 85038-0901
License Information
- Taxonomy (1)
- Chiropractor · 111N00000X
- Taxonomy (2)
- Anesthesiology · 207L00000X
- Taxonomy (3)
- Anesthesiology, Pain Medicine · 207LP2900X
- Taxonomy (4)
- Orthopaedic Surgery · 207X00000X
- Taxonomy (5)
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X
- Taxonomy (7)
- Physician Assistant · 363A00000X
- Taxonomy (8)
- Nurse Practitioner · 363L00000X
- Taxonomy (9)
- Pain Medicine, Interventional Pain Medicine · 208VP0014X · 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 1659030005. It was assigned on December 14, 2021 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 Pain Medicine, Interventional Pain Medicine (code 208VP0014X).
Where does Advanced Spine And Pain LLC practice?
The practice location is 15571 N Reems RD Bldg D, Surprise, AZ 85374-9584. The office can be reached at 480-573-0130 (phone).
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 1659030005 directly on the NPPES registry website.