Active NPI
Arizona Pain Specialists, PLLC
- Pain Medicine (Anesthesiology) Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 36803
- Legal business name
- ARIZONA PAIN SPECIALISTS, PLLC
- Practice address
- 18555 N 79TH Ave
Suite E101
Glendale, AZ 85308-8370 - Phone
- (623) 878-7246
- Fax
- (623) 878-7245
- NPI assigned
- Dec 1, 2008
- Last updated
- Jun 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Lynch, MD
- Title
- Ceo
- Phone
- (480) 563-6400
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 41788 | AZ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 36803 | AZ | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 35497 | AZ | |
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
18555 N 79TH Ave
Suite E101
Glendale, AZ 85308-8370
Mailing address
PO Box 6408
Scottsdale, AZ 85261-6408
Phone (480) 563-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090123000125 | AZ | Part B Supplier - Clinic/Group Practice | 2668536418 |
Receives reassigned benefits from 70 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Scottsdale, AZ; Phoenix, AZ; Peoria, AZ; Glendale, AZ; Anthem, AZ; Chandler, AZ; Gilbert, AZ |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1700030939
O20090123000125
National Provider Directory
National Provider DirectoryLocations
18555 N 79th Ave
Ste D101
Glendale, AZ 85308
Phone (480) 245-6169
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.
-
- Interventional Pain Medicine Physician
- Scottsdale, AZ
- NPI 1013061076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655942400000",
"number": "1316192602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6408",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852616408",
"telephone_number": "480-563-6400",
"fax_number": "480-563-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18555 N 79TH AVE",
"address_2": "SUITE E101",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088370",
"telephone_number": "623-878-7246",
"fax_number": "623-878-7245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA PAIN SPECIALISTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-01",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-563-6400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "AZ",
"license": "41788",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "36803",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "35497",
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
- Arizona Medical Supply & Equipment
- Arizona Mental Health Institute, L.L.C.
- Arizona Multisports Physical Therapy LLC
- Arizona Obstetrics & Gynecology PC
- Arizona Orthopedic Physical Therapy, PLLC
- Arizona Perinatal Care Centers, LLC
- Arizona Physician Specialists PC
- Arizona Plastic Surgery Institute
- Arizona Primary Care Physicians, LLC
- Arizona Pulmonary & Sleep, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.