NPIMap

Organization Active NPI

The Pain Center of Arizona, PC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
National Provider Identifier
1053802991
Registry record updated May 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE PAIN CENTER OF ARIZONA, PC
Practice address
1704 W Anklam Rd Ste 108
Tucson, AZ 85745-2656
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
May 26, 2018
Organization subpart
Yes
Parent organization
THE PAIN CENTER OF ARIZONA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cathy Hardesty
Title
VP, Patient Services
Phone
(623) 241-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AZ Primary

Addresses

Primary practice location

1704 W Anklam Rd Ste 108
Tucson, AZ 85745-2656

Mailing address

5281 N 99TH Ave Ste 100
Glendale, AZ 85305-2209
Phone (623) 516-8252

Other names 1

  • The Pain Center of Arizona- Tucson Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2045352Pain Center of Arizona, the - Tucson1704 W Anklam Rd, Ste 108, Tucson, AZ 85745Certificate of waiverAug 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
The Pain Center of Arizona PC13 organizations share this tax ID, including this one
Part of
The Pain Center of Arizona PC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527292800000",
    "number": "1053802991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052209",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W ANKLAM RD STE 108",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452656",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN CENTER OF ARIZONA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PAIN CENTER OF ARIZONA, PC",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-05-26",
        "status": "A",
        "authorized_official_last_name": "HARDESTY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "VP, PATIENT SERVICES",
        "authorized_official_telephone_number": "623-241-6101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pain Center of Arizona- Tucson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.