NPIMap

Organization Active NPI

East Valley Pain Physicians, LLC

  • Interventional Pain Medicine Physician
  • Queen Creek, AZ
National Provider Identifier
1609173293
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
EAST VALLEY PAIN PHYSICIANS, LLC
Practice address
18610 E Rittenhouse Rd
Suite 100
Queen Creek, AZ 85142-4503
Phone
(623) 486-1510
Fax
(623) 486-1529
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Ms. Cynthia D Gollihar
Title
Manager
Phone
(623) 486-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

18610 E Rittenhouse Rd
Suite 100
Queen Creek, AZ 85142-4503

Mailing address

15262 N 75TH Ave
Suite 400
Peoria, AZ 85381-4763
Phone (623) 486-1510

National Provider Directory

National Provider Directory

Locations

15262 N 75th Ave
Ste 400
Peoria, AZ 85381

18610 E Rittenhouse Rd
Ste 100
Queen Creek, AZ 85142

Practitioners & affiliated clinicians

Practitioners 6

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": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1609173293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15262 N 75TH AVE",
            "address_2": "SUITE 400",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814763",
            "telephone_number": "623-486-1510",
            "fax_number": "623-486-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 E RITTENHOUSE RD",
            "address_2": "SUITE 100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424503",
            "telephone_number": "623-486-1510",
            "fax_number": "623-486-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY PAIN PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "GOLLIHAR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-486-1510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.