Organization Active NPI

Comprehensive Interventional Care Centers, PLLC

Doing business as Comprehensive Interventional Care Centers, PLLC - Paradise Valley

  • Podiatrist
  • Phoenix, AZ
National Provider Identifier
1629535091
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Doing business as
Comprehensive Interventional Care Centers, PLLC - Paradise Valley
Practice address
10214 N Tatum Blvd Ste B300
Phoenix, AZ 85028-4233
Phone
(480) 374-7354
Fax
(480) 371-1121
NPI assigned
Feb 21, 2019
Last updated
Mar 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Joel R. Rainwater, MDNPI 1518956499
Title
President
Phone
(480) 374-7354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

10214 N Tatum Blvd Ste B300
Phoenix, AZ 85028-4233

Mailing address

4001 E Baseline Rd Ste 107
Gilbert, AZ 85234-2744
Phone (480) 374-7354

Other names 1

  • Comprehensive Interventional Care Centers, PLLC - Paradise Valley Doing business as

National Provider Directory

National Provider Directory
Part of
Comprehensive Interventional Care Centers PLLC

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1629535091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342744",
            "telephone_number": "480-374-7354",
            "fax_number": "480-371-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10214 N TATUM BLVD STE B300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284233",
            "telephone_number": "480-374-7354",
            "fax_number": "480-371-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC",
        "enumeration_date": "2019-02-21",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "RAINWATER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-374-7354",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Interventional Care Centers, PLLC - Paradise Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Interventional Care Centers, PLLC - Paradise Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.