Active NPI
Pain & Wellness of Arizona, LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Phoenix, AZ
National Provider Identifier
1154967750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- PAIN & WELLNESS OF ARIZONA, LLC
- Practice address
- 3120 E Union Hills Dr Ste 201
Phoenix, AZ 85050-3454 - Phone
- (602) 679-7676
- NPI assigned
- Nov 19, 2019
- 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
- Mr. John Eby
- Title
- President
- Phone
- (602) 679-7676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
3120 E Union Hills Dr Ste 201
Phoenix, AZ 85050-3454
Mailing address
3004 N Civic Center PLZ
Scottsdale, AZ 85251-6904
National Provider Directory
National Provider DirectoryLocations
3120 E Union Hills Dr
Phoenix, AZ 85050
Phone (602) 867-4200
3004 N Civic Center Plz
Scottsdale, AZ 85251
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1740247675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574121600000",
"number": "1154967750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3004 N CIVIC CENTER PLZ",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 E UNION HILLS DR STE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850503454",
"telephone_number": "602-679-7676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN & WELLNESS OF ARIZONA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A",
"authorized_official_last_name": "EBY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-679-7676",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"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 Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.