Pain Solutions Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OTC4813 Issued in AZ

Legal business name

PAIN SOLUTIONS CENTER, LLC

Practice address

15262 N 75TH Ave
Suite 400
Peoria, AZ 85381-4763

Phone

(623) 486-1510

Fax

(623) 486-1529

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cindy D Gollihar

Title

Manager

Phone

(623) 486-1510

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1104957869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15262 N 75TH AVE",
            "address_2": "SUITE 400",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814763",
            "telephone_number": "623-486-1510",
            "fax_number": "623-486-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15262 N 75TH AVE",
            "address_2": "SUITE 400",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814763",
            "telephone_number": "623-486-1510",
            "fax_number": "623-486-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SOLUTIONS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "GOLLIHAR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-486-1510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OTC4813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AZ",
            "identifier": "AZ0159630",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ursula Antoinette Padilla
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• Annie M Paige, FNP-C, PMHNP-BC
• Pain Center of Arizona PC
• Pain Centers Nationwide, PC
• Jadranka Todor Pajazetovic, RPH
• Jeffrey L Pakula, D.O.
• Paladino Physical Therapy PLLC
• Jason Paladino, MPT
• Colleen Palko, L.M.T.

• Ambulatory Surgical Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.