Advanced Spine And Pain LLC
Pain Medicine, Interventional Pain Medicine in Surprise, Arizona
1659030005- 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. The NPI number for Advanced Spine And Pain LLC is 1659030005. The current practice location address is 15571 N Reems RD Bldg D, Surprise, AZ 85374-9584 and the office can be reached by phone at 480-573-0130. The NPI was assigned on December 14, 2021 and the record was last updated in NPPES on December 14, 2021.
●Provider Profile Details
- NPI Number
- 1659030005
- Provider Name
- Advanced Spine And Pain LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Pain Medicine, Interventional Pain Medicine · 208VP0014X
- Organization Subpart
- No
- Authorized Official
- Jarrett Michael Leathem · DO, Owner · 480-573-0130
- Enumeration Date
- December 14, 2021
- Last Update Date
- December 14, 2021
- Certification Date
- December 14, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 15571 N Reems RD Bldg D
Surprise, AZ 85374-9584 - City
- Surprise
- State
- Arizona
- ZIP
- 85374-9584
- Country
- US
- Phone Number
- 480-573-0130
✉Business Mailing Address
- Address
- Po Box 29901, Department Id 975
Phoenix, AZ 85038-0901 - City
- Phoenix
- State
- AZ
- ZIP
- 85038-0901
✎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 | — | — |
| Physical Medicine & Rehabilitation, Pain Medicine 193200000X - Multi-Specialty Group | 2081P2900X | No | — | — |
193200000X - Multi-Specialty Group | 208VP0000X | No | — | — |
| Physician Assistant 193200000X - Multi-Specialty Group | 363A00000X | No | — | — |
| Nurse Practitioner 193200000X - Multi-Specialty Group | 363L00000X | No | — | — |
| Pain Medicine, Interventional Pain Medicine 193200000X - Multi-Specialty Group | 208VP0014X | 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 Surprise →?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 at npiregistry.cms.hhs.gov.