Phoenix Pain Treatment Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-10277 Issued in AZ

Legal business name

PHOENIX PAIN TREATMENT CENTER

Practice address

3124 E Roosevelt St # D-2
Phoenix, AZ 85008-5088

Phone

(602) 244-9200

Fax

(602) 244-9222

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Murray Smith, M.D.

Title

Medical Director

Phone

(602) 244-9200

Specialties & licenses 1

Addresses

Other names 1

• Integrated Addiction Medicine Other name

Tax ID family

Integrated Addiction Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Pain Treatment Center

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1114196383
  NPD tax ID

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1164690160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 E ROOSEVELT ST # D-2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850085088",
            "telephone_number": "602-244-9200",
            "fax_number": "602-244-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 E ROOSEVELT ST # D-2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850085088",
            "telephone_number": "602-244-9200",
            "fax_number": "602-244-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PAIN TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MURRAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-244-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Addiction Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phoenix Orthopedic Group
• Phoenix Orthopedic Group PC
• Phoenix Outpatient Surgery Center LLC
• Phoenix Pain Institute, Inc.
• Phoenix Pain Treatment Center
• Phoenix Pain Treatment Centers, PLLC
• Phoenix Pain Treatment Centers, PLLC
• Phoenix Pediatric Dental
• Phoenix Pediatric Dental, LLC
• Phoenix Pediatric Dialysis Center LLC

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.