Arizona Pain Treatment Center, P C

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ARIZONA PAIN TREATMENT CENTER, P C

Practice address

8805 N 23Rd Ave Ste 120
Phoenix, AZ 85021-4149

Phone

(602) 265-8800

Fax

(602) 258-4371

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Henry Doan

Title

Administrative Support

Phone

(602) 265-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Arizona Pain Treatment Center P C

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1316990831

  O20040630000917

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Arizona Pain Treatment Center P C3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Arizona Pain Treatment Center P C

  • Interventional Pain Medicine Physician
  • Mesa, AZ
  • NPI 1083479455
  NPD tax ID
• Arizona Pain Treatment Center P C

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1467217828
  NPD tax ID

Locations

Practitioners 11

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

• Amelia Mae Campbell, AGPCNP-BC

  • Nurse Practitioner
  • Mesa, AZ
  • NPI 1750762142
  NPD
• Lance Eberson, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1083110688
  NPD
• Leslie A Kotsis, NP-ADULT

  • Adult Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1356596969
  NPD
• Larry Lynch, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1093911216
  NPD
• Paul J Lynch, MD

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1013061076
  NPD
• Azmi Nasser, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1669636478
  NPD
• Eric J Neufang, D.C.

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1992787816
  NPD
• John Emery Salazar, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1760863955
  NPD
• Bea Paula Sempio Salvanera, FNP

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1902493208
  NPD
• Arash Ghaffari, MD

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
  • NPI 1770926099
  NPD
• Denis G Patterson, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Reno, NV
  • NPI 1538149950
  NPD

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1306485180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 N 23RD AVE STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214149",
            "telephone_number": "602-265-8800",
            "fax_number": "602-258-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 N 23RD AVE STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214149",
            "telephone_number": "602-265-8800",
            "fax_number": "602-258-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PAIN TREATMENT CENTER, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPPORT",
        "authorized_official_telephone_number": "602-265-8800"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Pain Physicians, LLC
• Arizona Pain Specialists, PLLC
• Arizona Pain Treatment Center
• Arizona Pain Treatment Center P C
• Arizona Pain Treatment Center P C
• Arizona Partnership for Immunization (The Arizona Partnership for Immunization)
• Arizona Pathways of Life, Unity and Love (Arizona Pathways)
• Arizona Pediatric Cardiology, LLC
• Arizona Pediatric Clinics PLLC
• Arizona Pediatric Dentistry and Orthodontic

• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.