Elviam LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

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

Organization subpart

No

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

Specialties & licenses 2

Addresses

Locations

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": []
}

• Lisa Elizabeth Elsbecker, LAC
• Angelina Elsee
• Mohammed Abdelmoniem Elseed, B.D.S., D.M.D., M.S.
• Jennifer Elton, NMD
• Rachel Elvey
• Elw Health Center LLC
• Heather Elwood, M.D.
• Jeffrey Ely, PMHNP
• Rebecca Lynn Ely
• Stephen Lawrence Ely, D.C.

• Pain Medicine (Anesthesiology) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• 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.

Verify at the official NPI Registry.