Eric Jack Church, M. D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

28649 Issued in AZ

Practice address

3240 E Union Hills Dr Ste 131
Phoenix, AZ 85050-2629

Phone

(480) 265-0890

Fax

(602) 297-6828

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

George Washington University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Pain Specialists PLLCGroup PAC ID 2668536418, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.church@azp.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Pain Specialists, PLLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1700030939

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Arizona Pain Specialists, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Denver, CO
  • NPI 1245682970
  NPD
• Apr DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Peoria, AZ
  • NPI 1831768654
  NPD (past)
• Physical Medicine of Chandler LLC

  • General Practice Physician
  • Chandler, AZ
  • NPI 1801410535
  NPD (past)
• Sjhmc Physician Services

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1326098005
  NPD (past)
• St. Joseph'S Hospital and Medical Center

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1255382412
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1366419269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 E UNION HILLS DR STE 131",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850502629",
            "telephone_number": "480-265-0890",
            "fax_number": "602-297-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 E UNION HILLS DR STE 131",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850502629",
            "telephone_number": "480-265-0890",
            "fax_number": "602-297-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "ERIC",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "28649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve S Chung, M.D.
• Susan A. Chung, DPT
• TSZ Chun Chung
• Therese Church-Nystrom
• Ashley Elizabeth Church, DPT
• Kaitelyn Church
• Kendra Dawn Church, FNP-C
• Danyelle Christine Churchill, AGACNP-BC
• Kerrie Churchill, MA, LPC
• Melinda Churchill, R.N.

• Pain Medicine (Anesthesiology) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.