Advanced Spine And Pain LLC
Internal Medicine in Gilbert, Arizona
1487394888- 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. The NPI number for Advanced Spine And Pain LLC is 1487394888. The current practice location address is 2563 S Val Vista Dr Ste 101B, Gilbert, AZ 85295-6231 and the office can be reached by phone at 480-573-0130 and by fax at 480-573-0131. The NPI was assigned on April 1, 2022 and the record was last updated in NPPES on April 1, 2022.
●Provider Profile Details
- NPI Number
- 1487394888
- Provider Name
- Advanced Spine And Pain LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Jarrett Michael Leathem · DO Owner · 860-670-2412
- Enumeration Date
- April 1, 2022
- Last Update Date
- April 1, 2022
- Certification Date
- April 1, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2563 S Val Vista Dr Ste 101B
Gilbert, AZ 85295-6231 - City
- Gilbert
- State
- Arizona
- ZIP
- 85295-6231
- Country
- US
- Phone Number
- 480-573-0130
- Fax Number
- 480-573-0131
✉Business Mailing Address
- Address
- 2525 W Greenway RD Ste 125
Phoenix, AZ 85023-4226 - City
- Phoenix
- State
- AZ
- ZIP
- 85023-4226
- Phone Number
- 937-206-0377
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Chiropractor 193200000X - Multi-Specialty Group | 111N00000X | No | — | — |
| Anesthesiology 193200000X - Multi-Specialty Group | 207L00000X | No | — | — |
| Anesthesiology, Pain Medicine 193200000X - Multi-Specialty Group | 207LP2900X | No | — | — |
| Orthopaedic Surgery 193200000X - Multi-Specialty Group | 207X00000X | No | — | — |
| Internal Medicine, Interventional Cardiology 193200000X - Multi-Specialty Group | 207RI0011X | No | — | — |
| Pain Medicine, Interventional Pain Medicine 193200000X - Multi-Specialty Group | 208VP0014X | No | — | — |
| Physician Assistant 193200000X - Multi-Specialty Group | 363A00000X | No | — | — |
| Nurse Practitioner 193200000X - Multi-Specialty Group | 363L00000X | No | — | — |
| Internal Medicine 193200000X - Multi-Specialty Group | 207R00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Gilbert →?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 at npiregistry.cms.hhs.gov.