Organization Active NPI

Az Pain Management LLC

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1407483639
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
AZ PAIN MANAGEMENT LLC
Practice address
34522 N Scottsdale Rd Ste 120-138
Scottsdale, AZ 85266-1224
Phone
(480) 563-6400
NPI assigned
Mar 26, 2020
Last updated
Mar 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Meshea Katelyn Krol
Title
Credentialing Assistant
Phone
(602) 577-7914

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

34522 N Scottsdale Rd Ste 120-138
Scottsdale, AZ 85266-1224

Mailing address

34522 N Scottsdale Rd Ste 120-138
Scottsdale, AZ 85266-1224
Phone (480) 563-6400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1407483639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34522 N SCOTTSDALE RD STE 120-138",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661224",
            "telephone_number": "480-563-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34522 N SCOTTSDALE RD STE 120-138",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661224",
            "telephone_number": "480-563-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "KROL",
        "authorized_official_first_name": "MESHEA",
        "authorized_official_middle_name": "KATELYN",
        "authorized_official_title_or_position": "CREDENTIALING ASSISTANT",
        "authorized_official_telephone_number": "602-577-7914"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.