Active NPI
Jaffe Ethical Addiction and Pain Care LLC
- Pain Medicine (Anesthesiology) Physician
- Show Low, AZ
National Provider Identifier
1508748401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- JAFFE ETHICAL ADDICTION AND PAIN CARE LLC
- Practice address
- 2051 Evergreen LN Ste C
Show Low, AZ 85901-7928 - Phone
- (928) 368-7346
- Fax
- (928) 495-5514
- NPI assigned
- Jul 22, 2025
- 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
- Stella Crozier
- Title
- Billing Manager
- Phone
- (928) 301-4022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
2051 Evergreen LN Ste C
Show Low, AZ 85901-7928
Mailing address
2051 Evergreen LN Ste C
Show Low, AZ 85901-7928
Phone (928) 368-7346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4672 Maverick Ln
Lakeside, AZ 85929
4830 State Rte 260 103
Chico, CA 95929
Phone (928) 368-7346
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Lakeside, AZ
- NPI 1629049275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1508748401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 EVERGREEN LN STE C",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017928",
"telephone_number": "928-368-7346",
"fax_number": "928-495-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 EVERGREEN LN STE C",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017928",
"telephone_number": "928-368-7346",
"fax_number": "928-495-5514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAFFE ETHICAL ADDICTION AND PAIN CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-22",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "CROZIER",
"authorized_official_first_name": "STELLA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "928-301-4022"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.