Active NPI
Paincare Health Institute LLC
- Pain Medicine Physician
- Avondale, AZ
National Provider Identifier
1497917660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- PAINCARE HEALTH INSTITUTE LLC
- Practice address
- 10815 W McDowell Rd
Ste 304
Avondale, AZ 85392-5007 - Phone
- (623) 433-0199
- Fax
- (623) 433-0198
- NPI assigned
- Jun 30, 2008
- 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
- Roy B Auten
- Title
- Manager
- Phone
- (623) 433-0199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
10815 W McDowell Rd
Ste 304
Avondale, AZ 85392-5007
Mailing address
10815 W McDowell Rd
Ste 304
Avondale, AZ 85392-5007
Phone (623) 433-0199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342563 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
10815 W McDowell Rd
Ste 304
Avondale, AZ 85392
Phone (623) 433-0155
9897 W McDowell Rd
Ste G
Tolleson, AZ 85353
Phone (623) 907-9889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222646400000",
"number": "1497917660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10815 W MCDOWELL RD",
"address_2": "STE 304",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925007",
"telephone_number": "623-433-0199",
"fax_number": "623-433-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10815 W MCDOWELL RD",
"address_2": "STE 304",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925007",
"telephone_number": "623-433-0199",
"fax_number": "623-433-0198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAINCARE HEALTH INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2008-09-29",
"status": "A",
"authorized_official_last_name": "AUTEN",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "623-433-0199"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "342563",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.