Organization Active NPI

Pain Medicine Specialists PC

  • Specialist
  • Anthem, AZ
National Provider Identifier
1477730554
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30744 Issued in AZ
Legal business name
PAIN MEDICINE SPECIALISTS PC
Practice address
3654 Wanthem Blvd
Ste B106
Anthem, AZ 85086-0455
Phone
(480) 361-7680
Fax
(480) 361-7683
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Dr. John P Badalamenti, MD
Title
President
Phone
(480) 361-7680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 30744 AZ Primary

Addresses

Primary practice location

3654 Wanthem Blvd
Ste B106
Anthem, AZ 85086-0455

Mailing address

PO Box 94568
Phoenix, AZ 85070-4568
Phone (480) 361-7680

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1477730554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94568",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850704568",
            "telephone_number": "480-361-7680",
            "fax_number": "480-361-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 WANTHEM BLVD",
            "address_2": "STE B106",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860455",
            "telephone_number": "480-361-7680",
            "fax_number": "480-361-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICINE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "BADALAMENTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-361-7680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "30744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.