NPIMap

Organization Active NPI

Innovative Pain and Wellness PLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
National Provider Identifier
1205494440
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
INNOVATIVE PAIN AND WELLNESS PLC
Practice address
22601 N 19TH Ave Ste 100
Phoenix, AZ 85027-1324
Phone
(623) 231-2443
NPI assigned
Jun 3, 2019
Last updated
Mar 9, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
INNOVATIVE PAIN AND WELLNESS PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Daniel Karl OconnorNPI 1629049457
Title
Owner, MD
Phone
(480) 306-7242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X

Addresses

Primary practice location

22601 N 19TH Ave Ste 100
Phoenix, AZ 85027-1324

Mailing address

18511 N Scottsdale Rd Ste 202
Scottsdale, AZ 85255-9694
Phone (480) 306-7242

National Provider Directory

National Provider Directory
Part of
Innovative Pain and Wellness PLC

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGDGCD

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1205494440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18511 N SCOTTSDALE RD STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559694",
            "telephone_number": "480-306-7242"
        },
        {
            "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": "INNOVATIVE PAIN AND WELLNESS PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE PAIN AND WELLNESS PLC",
        "enumeration_date": "2019-06-03",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "OWNER, MD",
        "authorized_official_telephone_number": "480-306-7242"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 9, 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.