Active NPI
Elviam LLC
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
National Provider Identifier
1114536992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- ELVIAM LLC
- Practice address
- 22601 N 19TH Ave Ste 100
Phoenix, AZ 85027-1324 - Phone
- (623) 231-2443
- NPI assigned
- Jul 28, 2020
- Last updated
- Jul 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Wuollet
- Title
- Owner, MD
- Phone
- (623) 231-2443
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X |
Addresses
Primary practice location
22601 N 19TH Ave Ste 100
Phoenix, AZ 85027-1324
Mailing address
22601 N 19TH Ave Ste 100
Phoenix, AZ 85027-1324
Phone (623) 231-2443
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
- NPI 1144481623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595894400000",
"number": "1114536992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22601 N 19TH AVE STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271324",
"telephone_number": "623-231-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22601 N 19TH AVE STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271324",
"telephone_number": "623-231-2443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELVIAM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A",
"authorized_official_last_name": "WUOLLET",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "OWNER, MD",
"authorized_official_telephone_number": "623-231-2443"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.