Az Pain Medicine Clinic, LLC.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

AZ PAIN MEDICINE CLINIC, LLC.

Practice address

8805 N 23Rd Ave Ste 160
Phoenix, AZ 85021-4116

Phone

(602) 368-8800

Fax

(602) 368-8801

NPI assigned

Jul 8, 2021

Organization subpart

No

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

Authorized official

Name

Jason Moore

Title

Administrator

Phone

(602) 368-8800

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1497326615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 N 23RD AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214116",
            "telephone_number": "602-368-8800",
            "fax_number": "602-368-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 N 23RD AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214116",
            "telephone_number": "602-368-8800",
            "fax_number": "602-368-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ PAIN MEDICINE CLINIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-368-8800"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@azpainmed.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "address_1": "8805 N 23rd Ave Ste 160",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850214116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Az Pediatric Care
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• Pain Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.