Active NPI
Biomedical Group, LLC
- Interventional Pain Medicine Physician
- Prescott, AZ
National Provider Identifier
1467158709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- BIOMEDICAL GROUP, LLC
- Practice address
- 3769 Crossings Dr Ste a
Prescott, AZ 86305-7270 - Phone
- (928) 458-7343
- Fax
- (888) 491-4424
- NPI assigned
- Feb 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline McDonald
- Title
- Managing Member
- Phone
- (928) 308-5109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
3769 Crossings Dr Ste a
Prescott, AZ 86305-7270
Mailing address
1042 Willow Creek Rd Suite A101 # 417
Prescott, AZ 86301
Phone (928) 308-5109
Other names 1
- Advance Pain management and spine institute
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1467158709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 WILLOW CREEK RD SUITE A101 # 417",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86301",
"telephone_number": "928-308-5109",
"fax_number": "888-491-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3769 CROSSINGS DR STE A",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057270",
"telephone_number": "928-458-7343",
"fax_number": "888-491-4424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOMEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-01-30",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "928-308-5109"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advance Pain management and spine institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.