NPIMap

Organization Active NPI

Gilbert PT, LLC

Doing business as Pain Associates of Gilbert

  • Adult Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1639472244
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP3957 Issued in AZ
Legal business name
GILBERT PT, LLC
Doing business as
Pain Associates of Gilbert
Practice address
610 N Gilbert Rd
Suite 309
Gilbert, AZ 85234-4502
Phone
(480) 926-1111
Fax
(480) 926-2958
NPI assigned
Dec 21, 2010
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Mr. John M Eby
Title
Owner
Phone
(602) 679-7676

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP3957 AZ Primary
Chiropractor 111N00000X 7280 AZ
Pain Medicine (Anesthesiology) Physician 207LP2900X 27848 AZ

Addresses

Primary practice location

610 N Gilbert Rd
Suite 309
Gilbert, AZ 85234-4502

Mailing address

3004 N Civic Center PLZ
Scottsdale, AZ 85251-6904
Phone (480) 990-7676

Other names 1

  • Pain Associates of Gilbert Doing business as

National Provider Directory

National Provider Directory

Locations

610 N Gilbert Rd
Ste 309
Gilbert, AZ 85234
Phone (480) 926-1111

3004 N Civic Center Plz
Scottsdale, AZ 85251

Practitioners & affiliated clinicians

Practitioners 8

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": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1639472244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516904",
            "telephone_number": "480-990-7676",
            "fax_number": "480-990-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N GILBERT RD",
            "address_2": "SUITE 309",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344502",
            "telephone_number": "480-926-1111",
            "fax_number": "480-926-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "EBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-679-7676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP3957",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7280",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "27848",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Associates of Gilbert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.