NPIMap

Organization Active NPI

Arizona Spine and Pain Specialists LLC

Doing business as AZ Pain Doctors

  • Durable Medical Equipment & Medical Supplies
  • Goodyear, AZ
National Provider Identifier
1285082388
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ARIZONA SPINE AND PAIN SPECIALISTS LLC
Doing business as
AZ Pain Doctors
Practice address
1325 N Litchfield Rd Ste 201
Goodyear, AZ 85395-1213
Phone
(602) 795-8700
Fax
(602) 795-8701
NPI assigned
May 31, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Patrick Hogan, DONPI 1023209228
Title
Member/Managing Employee
Phone
(602) 795-8700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AZ Primary

Addresses

Primary practice location

1325 N Litchfield Rd Ste 201
Goodyear, AZ 85395-1213

Mailing address

20280 N 59TH Ave # 115-617
Glendale, AZ 85308-6850
Phone (026) 795-8700

Other identifiers 2

IdentifierTypeStateIssuer
Z172895OtherAZMEDICARE PTAN
947192MedicaidAZ

Other names 1

  • AZ Pain Doctors Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161021001617 AZ DME Supplier - Physician - Interventional Pain ManagementDME Supplier - Physician - Anesthesiology 7214251396 Practice locations: Goodyear, AZ

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Arizona Spine and Pain Specialists LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20280 N 59th Ave
#115617
Glendale, AZ 85308

1325 N Litchfield Rd
Ste 201
Goodyear, AZ 85395

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": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285082388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE # 115-617",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "026-795-8700",
            "fax_number": "602-795-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N LITCHFIELD RD STE 201",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951213",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SPINE AND PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MEMBER/MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "602-795-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z172895",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "947192",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Pain Doctors",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AZ Pain Doctors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.