Pain Institute of Southern Arizona Pisa PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC

Doing business as

Pain Institute of Southern Arizona PISA PC
The Pain Institute of Southern Arizona PISA PC

Practice address

4881 E Grant Rd Ste 101
Tucson, AZ 85712-2704

Phone

(520) 336-5174

Fax

(520) 795-9953

NPI assigned

Jun 13, 2017

Last updated

Jan 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PCAs reported in NPPES

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

Authorized official

Name

Dr. Kenneth B Gossler, MDNPI 1942292628

Title

Physician/Owner

Phone

(520) 318-6035

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Pain Institute of Southern Arizona PISA PC Doing business as
• The Pain Institute of Southern Arizona PISA PC Doing business as

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).

• Pain Institute of Southern Arizona Pisa PC

  • Interventional Pain Medicine Physician
  • Tucson, AZ
  • NPI 1669934014

  4688615362

  Same PAC ID
• Pain Institute of Southern Arizona Pisa PC

  dba Regional Pain Institute

  • Pain Medicine (Anesthesiology) Physician
  • San Tan Valley, AZ
  • NPI 1780268912

  4688615362

  Same PAC ID
• Pain Institute of Southern Arizona Pisa PC

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
  • NPI 1861575078

  4688615362

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pain Institute of Southern Arizona Pisa PC

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
  • NPI 1861575078

  O20170615000886

  Same enrollment

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

Pain Institute of Southern Arizona Pisa PC2 organizations share this tax ID, including this one

Part of

Pain Institute of Southern Arizona Pisa PC

Other organizations with this tax ID 1

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

• Pain Institute of Southern Arizona Pisa PC

  dba Regional Pain Institute

  • Pain Medicine (Anesthesiology) Physician
  • San Tan Valley, AZ
  • NPI 1780268912
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth B Gossler, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
  • NPI 1942292628
  Authorized official Same address or phone

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1619407533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4582 N 1ST AVE STE 170",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188607",
            "telephone_number": "520-505-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 E GRANT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122704",
            "telephone_number": "520-336-5174",
            "fax_number": "520-795-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC",
        "enumeration_date": "2017-06-13",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "GOSSLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "520-318-6035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "954926",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Institute of Southern Arizona PISA PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pain Institute of Southern Arizona PISA PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele A Watson Page, ARNP
• Sarah J Page
• Daniel Pagliuca, DPT
• Tina Eun Sil Pai, MD
• Ellen Marie Paige, MD
• Pain Institute of Southern Arizona Pisa PC
• Pain Institute of Southern Arizona Pisa PC
• Pain Management Products, Inc.
• Steven Pain
• Quinci May Paine, MD

• Pain Medicine (Anesthesiology) Physician in Tucson, AZ
• Providers in Tucson, 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 Jan 28, 2021; 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.