Southwest Prime Consulting Services

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SOUTHWEST PRIME CONSULTING SERVICES

Doing business as

Premier Health Network

Practice address

1747 E Garnet Ave
Mesa, AZ 85204-6013

Phone

(480) 388-7585

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Justin Tyler

Title

Chief Executive Officer

Phone

(480) 388-7585

Specialties & licenses 2

Addresses

Other names 2

• Premier Health Network Doing business as
• Southwest Prime Consulting Services Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

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

• Nikesh Seth, MD

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
  • NPI 1922327030
  Medicare reassignment NPD
• Emily Elizabeth Tyler, NP

  • Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1548632623

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1275389306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 E GARNET AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046013",
            "telephone_number": "480-388-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 E GARNET AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046013",
            "telephone_number": "480-388-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PRIME CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-388-7585"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Health Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Health Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Prime Consulting Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pain Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.