Pain Experts of Arizona PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PAIN EXPERTS OF ARIZONA PC

Practice address

4566 E Inverness Ave Ste 202
Mesa, AZ 85206-4634

Phone

(480) 550-9393

NPI assigned

Jul 20, 2023

Organization subpart

Yes

Parent organization

PAIN EXPERTS OF ARIZONA PCAs reported in NPPES

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

Authorized official

Name

Ahdev Kuppusamy

Title

Owner

Phone

(480) 550-9393

Specialties & licenses 3

Addresses

Part of

Pain Experts of Arizona PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pain Experts of Arizona PC

  • Interventional Pain Medicine Physician
  • Gilbert, AZ
  • NPI 1659931152
  NPPES parent name

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1073293544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "480-550-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE STE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064634",
            "telephone_number": "480-550-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN EXPERTS OF ARIZONA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN EXPERTS OF ARIZONA PC",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "KUPPUSAMY",
        "authorized_official_first_name": "AHDEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-550-9393"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul John Pages, DPT
• Derek Matthew Pagsolingan, RN
• Tara C Pai, DPT
• Angel Beth Paige, LPCC, LPC, LISAC
• Jasiya Paika, FNP
• Pain Management & Rehabilitation Medicine Center PC
• Pain Stop Accident Injury LLC
• Jayakrishna Paineni
• Megan K Painter, FNP-BC, APNP
• Painx Joint- Revitalization Inc

• Interventional Pain Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.