Advanced Spine And Pain LLC
Anesthesiology, Pain Medicine in Phoenix, Arizona
1639951577- Practice location
- 333 W Thomas RD Ste 204, Phoenix, AZ 85013-4425
- Phone
- 480-573-0130
- Fax
- 480-573-0131
- Last updated
- October 16, 2023
Advanced Spine And Pain LLC is a healthcare organization based in Phoenix, AZ. The NPI number for Advanced Spine And Pain LLC is 1639951577. The current practice location address is 333 W Thomas RD Ste 204, Phoenix, AZ 85013-4425 and the office can be reached by phone at 480-573-0130 and by fax at 480-573-0131. The NPI was assigned on October 16, 2023 and the record was last updated in NPPES on October 16, 2023.
●Provider Profile Details
- NPI Number
- 1639951577
- Provider Name
- Advanced Spine And Pain LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Anesthesiology, Pain Medicine · 207LP2900X
- Organization Subpart
- Yes
- Parent Organization
- Advanced Spine And Pain LLC
- Authorized Official
- Jarrett Michael Leathem · Owner · 860-670-2412
- Enumeration Date
- October 16, 2023
- Last Update Date
- October 16, 2023
- Certification Date
- October 16, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 333 W Thomas RD Ste 204
Phoenix, AZ 85013-4425 - City
- Phoenix
- State
- Arizona
- ZIP
- 85013-4425
- 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
- 480-573-0130
- Fax Number
- 480-573-0131
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
193200000X - Multi-Specialty Group | 208VP0000X | No | — | — |
| Pain Medicine, Interventional Pain Medicine 193200000X - Multi-Specialty Group | 208VP0014X | No | — | — |
| Anesthesiology, Pain Medicine 193200000X - Multi-Specialty Group | 207LP2900X | 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 Phoenix →?Frequently Asked Questions
What is the NPI number of Advanced Spine And Pain LLC?
The NPI number of Advanced Spine And Pain LLC is 1639951577. It was assigned on October 16, 2023 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 Anesthesiology, Pain Medicine (code 207LP2900X).
Where does Advanced Spine And Pain LLC practice?
The practice location is 333 W Thomas RD Ste 204, Phoenix, AZ 85013-4425. 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 1639951577 directly on the NPPES registry website at npiregistry.cms.hhs.gov.