Acadia Specialty Medical Care, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

ACADIA SPECIALTY MEDICAL CARE, LLC

Practice address

604 W Warner Rd Ste C2
Chandler, AZ 85225-2915

Phone

(480) 786-4644

NPI assigned

Dec 22, 2020

Last updated

Dec 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seana Perea

Title

Billing and Front End Manager

Phone

(480) 786-4644

Specialties & licenses 1

Addresses

Tax ID family

Acadia Specialty Medical Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Acadia Specialty Medical Care, LLC

  • Anesthesiology Physician
  • Chandler, AZ
  • NPI 1962090506
  NPD tax ID

Locations

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1568059863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD STE C2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252915",
            "telephone_number": "480-786-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD STE C2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252915",
            "telephone_number": "480-786-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA SPECIALTY MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "PEREA",
        "authorized_official_first_name": "SEANA",
        "authorized_official_title_or_position": "BILLING AND FRONT END MANAGER",
        "authorized_official_telephone_number": "480-786-4644"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aces 2020, LLC

• Pain Medicine (Anesthesiology) Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.