Novaspine Pain Institute, PLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

NOVASPINE PAIN INSTITUTE, PLC

Practice address

17100 N 67TH Ave Ste 300
Glendale, AZ 85308-3657

Phone

(623) 777-4747

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

NOVASPINE PAIN INSTITUTE, PLCAs reported in NPPES

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

Authorized official

Name

Heather Spencer

Title

Practice Admin

Phone

(623) 777-4747

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Novaspine Pain Institute PLC6 organizations share this tax ID, including this one

Part of

Novaspine Pain Institute PLC

Other organizations with this tax ID 5

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

• Novaspine Pain Institute PLC

  • Durable Medical Equipment & Medical Supplies
  • Gilbert, AZ
  • NPI 1659781771
  NPD tax ID
• Novaspine Pain Institute PLC

  • Durable Medical Equipment & Medical Supplies
  • Sun City, AZ
  • NPI 1841600921
  NPD tax ID
• Novaspine Pain Institute, PLC

  • Durable Medical Equipment & Medical Supplies
  • Sun City, AZ
  • NPI 1124579628
  NPD tax ID
• Novaspine Pain Institute, PLC

  • Pain Medicine Physician
  • Sun City West, AZ
  • NPI 1265233019
  NPD tax ID
• Novaspine Pain Institute, PLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sun City, AZ
  • NPI 1386409746
  NPD tax ID

Locations

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1306601760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5068",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853765068",
            "telephone_number": "623-777-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE STE 300",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083657",
            "telephone_number": "623-777-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVASPINE PAIN INSTITUTE, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVASPINE PAIN INSTITUTE, PLC",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "623-777-4747"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "Z166942",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Counseling and Associates LLC
• Northwest Organization for Voluntary Alternatives (DBA: Maverick House)
• Northwest Organization for Voluntary Alternatives (Nova)
• Jean Norton
• Nova Via Glendale LLC
• Stephanie Nowacinski, LISAC, LPC
• Bernard Dennis Nowicki, HIS DISPENCER
• Mary Catherine Nowlin, DO
• Barisuka Nsagane
• Nanette S. Nuessle, M.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.