Desert Pain and Rehab Specialists, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DESERT PAIN AND REHAB SPECIALISTS, PLLC

Practice address

137 E Fort Lowell Rd
Tucson, AZ 85705-3920

Phone

(520) 393-8060

Fax

(520) 393-3467

NPI assigned

Jun 5, 2018

Last updated

Nov 6, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

DESERT PAIN AND REHAB SPECIALISTSAs reported in NPPES

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

Authorized official

Name

Herbert Goodman, MD

Title

Provider / Owner

Phone

(602) 944-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Desert Pain Rehab Speciali

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Desert Pain and Rehab Specialists

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Phoenix, AZ
  • NPI 1457416414
  NPPES parent name

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1194217125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11047 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294816",
            "telephone_number": "602-944-2222",
            "fax_number": "602-331-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053920",
            "telephone_number": "520-393-8060",
            "fax_number": "520-393-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PAIN AND REHAB SPECIALISTS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT PAIN AND REHAB SPECIALISTS",
        "enumeration_date": "2018-06-05",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "PROVIDER / OWNER",
        "authorized_official_telephone_number": "602-944-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306932",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Desert Palms First Assist, PLLC
• Desert Palms Physical Therapy PC
• Desert Palms Physical Therapy- Catalina PC
• Desert Podiatric Medical Specialists PC
• Desert Prism Integrated Health, LLC

• Durable Medical Equipment & Medical Supplies in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.