Arizona Pain and Spine Institute PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

36668 Issued in AZ

Legal business name

ARIZONA PAIN AND SPINE INSTITUTE PLLC

Practice address

2045 S Vineyard
Suite 131
Mesa, AZ 85210-6889

Phone

(480) 986-7246

Fax

(480) 986-7252

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Asim Khan, M.D.NPI 1669662151

Title

Member

Phone

(312) 315-0024

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJJDAA

Practitioners 20

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.

• Asim Khan, M.D.

  • Interventional Pain Medicine Physician
  • Mesa, AZ
  • NPI 1669662151
  Medicare reassignment Care Compare group NPD Authorized official
• Eva Liza Pascual Lim, MSN,FNP-BC

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1528207255
  Medicare reassignment Care Compare group NPD
• Daniel Lev Ryklin, MD

  • Interventional Pain Medicine Physician
  • Mesa, AZ
  • NPI 1194929729
  Medicare reassignment Care Compare group NPD
• Andreia Lorraine Arnold, FNP

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1558727255
  NPD (past)
• Rhonda Lynne Casey, ANP

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1255696266
  NPD (past)
• Rachel Cheney

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1033603303
  NPD (past)
• Katherine Elizabeth Costa, ACNP-BC

  • Nurse Practitioner
  • Surprise, AZ
  • NPI 1215014485
  NPD (past)
• Linda Marie Farley, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1467930768
  NPD (past)
• Shaun Hampton, N.P.

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1093261497
  NPD (past)
• Melissa Jaclyn Lesaar, FNP-C

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1326454810
  NPD (past)
• Jadeh W Marselis-Moore, NP

  • Nurse Practitioner
  • Tucson, AZ
  • NPI 1407199045
  NPD (past)
• Michael Montoya, AGACNP

  • Acute Care Nurse Practitioner
  • Gilbert, AZ
  • NPI 1467973156
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1316147242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3187",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852803187",
            "telephone_number": "480-986-7246",
            "fax_number": "480-986-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD",
            "address_2": "SUITE 131",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106889",
            "telephone_number": "480-986-7246",
            "fax_number": "480-986-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PAIN AND SPINE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ASIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "312-315-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "36668",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "36668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION REGISTRATION",
            "identifier": "P1369677-9",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arizona Occupational Medical Clinics
• Arizona Oculofacial Plastic Orbit and Cosmetic Surgery, LLC (Arizona)
• Arizona on Call Health
• Arizona Ophthalmology Specialists, PLC
• Arizona Orthopedic & Sports Medicine Associates Inc
• Arizona Pain Management Specialists
• Arizona Pain Treatment Center P C
• Arizona Pediatric Eye Specialists, PLC
• Arizona Pediatric Hematology
• Arizona Performance Institute

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.