NPIMap

Organization Active NPI

Novaspine Pain Institute, PLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sun City, AZ
National Provider Identifier
1386409746
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
NOVASPINE PAIN INSTITUTE, PLC
Practice address
13203 N 103Rd Ave Ste H5
Sun City, AZ 85351-3032
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

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Heather Spencer
Title
Administrator
Phone
(623) 777-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

13203 N 103Rd Ave Ste H5
Sun City, AZ 85351-3032

Mailing address

PO Box 5068
Sun City West, AZ 85376-5068
Phone (623) 777-4747

Other identifiers 1

IdentifierTypeStateIssuer
Z166942OtherAZGROUP MEDICARE

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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": "1386409746",
    "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": "13203 N 103RD AVE STE H5",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513032",
            "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": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "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",
            "identifier": "Z166942",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • 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.