Active NPI
Comprehensive Interventional Care Centers, PLLC
Doing business as Comprehensive Interventional Care Centers, PLLC - Paradise Valley
- Podiatrist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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, 2021
- Organization subpart
- Yes
- Parent organization
- COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel R. Rainwater, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Podiatrist | 213E00000X | Primary | ||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | |||
| Foot Surgery Podiatrist | 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
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.
-
- Diagnostic Radiology Physician
- Gilbert, AZ
- NPI 1518956499
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
- Comprehensive Fitness & Consultation, LLC
- Comprehensive Health Services LTD.
- Comprehensive Health Services, Incorporated
- Comprehensive Hospice and Palliative Care, LLC
- Comprehensive Hospitalist Services of Arizona LLC
- Comprehensive Medical Services
- Comprehensive Mobile Care, LLC
- Comprehensive Neuro Wellness, PLLC
- Comprehensive Neurology and Sleep Center
- Comprehensive Physical Medicine and Rehabilitation, LLC
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.