Active NPI
Pain and Spine Treatment Center, LLC
- Pain Clinic/Center
- Phoenix, AZ
National Provider Identifier
1255842365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- PAIN AND SPINE TREATMENT CENTER, LLC
- Practice address
- 16620 N 40TH St Ste D1
Phoenix, AZ 85032-3350 - Phone
- (480) 565-7346
- NPI assigned
- Oct 16, 2017
- 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
- Martha Hernandez
- Title
- Director
- Phone
- (602) 343-2907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
16620 N 40TH St Ste D1
Phoenix, AZ 85032-3350
Mailing address
2345 E Thomas Rd Ste 400
Phoenix, AZ 85016-7862
Phone (602) 343-2941
Other practice location 1
5110 N 44th St Ste L200
Phoenix, AZ 85018-1675
Phone (602) 343-2907
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2139540 | Pain and Spine Treatment Center LLC | Certificate of waiver | Nov 5, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/EIFHBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285693879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562025600000",
"number": "1255842365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 E THOMAS RD STE 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167862",
"telephone_number": "602-343-2941",
"fax_number": "623-748-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16620 N 40TH ST STE D1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323350",
"telephone_number": "480-565-7346"
}
],
"practiceLocations": [
{
"address_1": "5110 N 44th St Ste L200",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850181675",
"country_code": "US",
"telephone_number": "602-343-2907",
"fax_number": "602-532-7753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PAIN AND SPINE TREATMENT CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-16",
"last_updated": "2019-07-02",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "MARTHA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "602-343-2907"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"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 Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.