Innovative Pain and Wellness PLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

INNOVATIVE PAIN AND WELLNESS PLC

Practice address

6553 E Baywood Ave Ste 201
Mesa, AZ 85206-1754

Phone

(480) 206-7242

Fax

(480) 306-6246

NPI assigned

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Daniel Karl Oconnor

Title

Owner MD

Phone

(480) 306-7242

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Innovative Pain and Wellness PLC

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
  • NPI 1396428009

  0840567111

  Same PAC ID
• Innovative Pain and Wellness PLC

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1659812444

  0840567111

  Same PAC ID
• Innovative Pain and Wellness PLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
  • NPI 1750064465

  0840567111

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Innovative Pain and Wellness PLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Innovative Pain and Wellness PLC

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
  • NPI 1396428009
  NPD tax ID
• Innovative Pain and Wellness PLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
  • NPI 1750064465
  NPD tax ID
• Innovative Pain and Wellness PLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
  • NPI 1760092316
  NPD tax ID

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1558044263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18511 N SCOTTSDALE RD STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559694",
            "telephone_number": "480-306-7242",
            "fax_number": "480-306-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061754",
            "telephone_number": "480-206-7242",
            "fax_number": "480-306-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PAIN AND WELLNESS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "480-306-7242"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Mesa, AZ
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.