Organization Active NPI

Jaffe Ethical Addiction and Pain Care LLC

  • Pain Medicine (Anesthesiology) Physician
  • Show Low, AZ
National Provider Identifier
1508748401
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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

Updated by the provider on Sep 11, 2026

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20251201003528 AZ Part B Supplier - Clinic/Group Practice 0749773588 Receives reassigned benefits from 1 practitioner
Practice locations: Show Low, AZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.