Organization Active NPI

McQueen Professional Group, LLC

  • Interventional Pain Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1669011482
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
MCQUEEN PROFESSIONAL GROUP, LLC
Practice address
1450 W Guadalupe Rd Ste 124
Gilbert, AZ 85233-3056
Phone
(480) 926-7800
NPI assigned
Dec 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Radman Rahiminejad
Title
Owner
Phone
(480) 926-7800

Specialties & licenses 1

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

Addresses

Primary practice location

1450 W Guadalupe Rd Ste 124
Gilbert, AZ 85233-3056

Mailing address

2250 E Germann Rd Ste 8
Chandler, AZ 85286-1575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1669011482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 E GERMANN RD STE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W GUADALUPE RD STE 124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333056",
            "telephone_number": "480-926-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCQUEEN PROFESSIONAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "RAHIMINEJAD",
        "authorized_official_first_name": "RADMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-926-7800"
    },
    "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 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, 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.