Organization Active NPI

Paincare Health Institute LLC

  • Pain Medicine Physician
  • Avondale, AZ
National Provider Identifier
1497917660
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
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

Updated by the provider on Sep 29, 2008

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
342563MedicaidAZ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.