Spinecare of Phoenix LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SPINECARE OF PHOENIX LLC

Practice address

16222 N 59TH Ave
Ste a-100
Glendale, AZ 85306-1701

Phone

(941) 360-1566

NPI assigned

Apr 7, 2009

Organization subpart

No

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

Authorized official

Name

Carl R. Noback

Title

Owner

Phone

(941) 360-1566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1104069145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864483",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 N 59TH AVE",
            "address_2": "STE A-100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061701",
            "telephone_number": "941-360-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINECARE OF PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "NOBACK",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-360-1566"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Speicher, M.S.,CCC-SLP
• Breanne Michele Spence
• Melissa Spence
• Jacqueline Jordan Spiegel, PA
• George Patrick Spine III, D.M.D.
• Catherine Spire, FNP
• Niculae Spirea, CAREGIVER/MANAGER
• Austin L Spitzer, MD
• Kaitlin Spivey, FNP-C
• Spooner Physical Therapy & Hand Rehab, PC

• All providers in Glendale, AZ
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.