Boston Interventional Pain Center, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

43561 Issued in AZ

Legal business name

BOSTON INTERVENTIONAL PAIN CENTER, PLLC

Practice address

14044 W Camelback Rd
Litchfield Park, AZ 85340-9428

Phone

(623) 210-5156

Fax

(623) 218-9129

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ashraf Farid

Title

MD

Phone

(508) 333-0449

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1417265117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524 W CAMELBACK RD",
            "address_2": "SUITE 130 PMB#165",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409428",
            "telephone_number": "623-210-5156",
            "fax_number": "623-218-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON INTERVENTIONAL PAIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "FARID",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "508-333-0449",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "43561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blu Advocate Primary Care LLC
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• Jayde Bolding, RBT
• Aliana Marina Bollinger
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• Patrick Sean Bradley, D.C.
• Aaron Raphael Barnard Brandis, MD
• Stephanie Brandt, CCMH

• Specialist in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.