White Mountain Pain Clinic, PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

WHITE MOUNTAIN PAIN CLINIC, PLLC

Doing business as

White Mountain Pain Clinic

Practice address

114 S Mountain Ave
Springerville, AZ 85938-5104

Phone

(928) 333-0562

Fax

(928) 333-7157

NPI assigned

May 4, 2011

Last updated

May 4, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

SUNRISE ANESTHESIA & PAIN MANAGEMENT, PLLCAs reported in NPPES

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

Authorized official

Name

John Clifford AllenNPI 1063455541

Title

Ceo

Phone

(888) 696-6654

Specialties & licenses 1

Addresses

Other names 1

• White Mountain Pain Clinic Doing business as

Part of

Sunrise Anesthesia Pain

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.

• John Clifford Allen, M.S., D.A.A.E.T.S.

  • Registered Nurse
  • Birmingham, AL
  • NPI 1063455541
  NPD (past) Authorized official

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1154613586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "GREER",
            "state": "AZ",
            "postal_code": "859270163",
            "telephone_number": "888-696-6654",
            "fax_number": "888-589-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MOUNTAIN AVE",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859385104",
            "telephone_number": "928-333-0562",
            "fax_number": "928-333-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN PAIN CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE ANESTHESIA & PAIN MANAGEMENT, PLLC",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-696-6654"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Mountain Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alena Thompson, FNP-C
• TJS Health Inc.
• Valley Spring Behavioral Health LLC
• Western Drug Inc (Western Drug)
• White Mountain Ambulance Service, Inc.
• White Mountain Regional Medical Center
• White Mountain Regional Medical Center
• Kathleen Whitmore, PHARMD

• Pain Clinic/Center in Springerville, AZ
• Providers in Springerville, AZ by specialty
• Pain Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.