NPIMap

Organization Active NPI

Arizona Spine and Pain Specialists LLC

  • Interventional Pain Medicine Physician
  • Glendale, AZ
National Provider Identifier
1336552140
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ARIZONA SPINE AND PAIN SPECIALISTS LLC
Practice address
7200 W Bell Rd
Ste F-101
Glendale, AZ 85308
Phone
(602) 795-8700
Fax
(602) 795-8701
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Patrick W Hogan, DONPI 1023209228
Title
Member
Phone
(602) 795-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

7200 W Bell Rd
Ste F-101
Glendale, AZ 85308

Mailing address

20280 N 59TH Ave Ste 115-617
Glendale, AZ 85308-6850
Phone (602) 795-8700

Other identifiers 1

IdentifierTypeStateIssuer
947192MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150120001820 AZ Part B Supplier - Clinic/Group Practice 7214251396 Receives reassigned benefits from 43 practitioners
Practice locations: Sun City West, AZ; Chandler, AZ; Scottsdale, AZ; Phoenix, AZ; Paradise Valley, AZ; Goodyear, AZ; Glendale, AZ; Casa Grande, AZ…
O20150430001071 AZ DME Supplier - Physician - Interventional Pain Management 7214251396 Practice locations: Glendale, 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

Locations

725 S Dobson Rd
Ste 100
Chandler, AZ 85224
Phone (480) 814-0266

1100 S Dobson Rd
Bldg ASTE210
Chandler, AZ 85286

1100 S Dobson Rd
Bldg A210
Chandler, AZ 85286

17235 N 75th Ave
Ste 110
Glendale, AZ 85308

20280 N 59th Ave
Ste 115610
Glendale, AZ 85308

20280 N 59th Ave
Ste 115617
Glendale, AZ 85308

18555 N 79th Ave
Ste D101
Glendale, AZ 85308
Phone (480) 245-6169

1325 N Litchfield Rd
Ste 200
Goodyear, AZ 85395

3815 E Bell Rd
Ste 120
Phoenix, AZ 85032

33747 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85266

14506 W Granite Valley Dr
Ste 209
Sun City West, AZ 85375

14506 W Granite Valley Dr
#209
Sun City West, AZ 85375

Practitioners & affiliated clinicians

Practitioners 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1336552140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 115-617",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W BELL RD",
            "address_2": "STE F-101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "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": "2014-06-09",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-795-8700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "947192",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.