Izzy Pain Mangement P C

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

31461 Issued in AZ

Legal business name

IZZY PAIN MANGEMENT P C

Practice address

8910 N 43Rd Ave Ste 104
Glendale, AZ 85302-5340

Phone

(602) 595-2986

Fax

(602) 595-3041

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Edith C Izuegbunam

Title

Administrator

Phone

(602) 595-2986

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Izzy Pain and Wellness PC Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Godwin C Izuegbunam, MD

  • Anesthesiology Physician
  • Glendale, AZ
  • NPI 1992760821

  Pain Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1235309360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44047 N 43RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850876100",
            "telephone_number": "602-595-2986",
            "fax_number": "602-595-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 N 43RD AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025340",
            "telephone_number": "602-595-2986",
            "fax_number": "602-595-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZZY PAIN MANGEMENT P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "IZUEGBUNAM",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-595-2986"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "31461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793837",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331102",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Izzy Pain and Wellness PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Natasha L. Ivey, PA-C
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• Summer Iwerks, RDN
• Godwin C Izuegbunam, MD
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• J S Bisla LLC
• Mostafa Tawfiq Jabassini, M.D.
• Leticia G Jacinto, M.D.
• Robin Elise Jackson-Ervin, FNP-BC

• Pain Medicine (Anesthesiology) Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.