NPIMap

Organization Active NPI

Southwest Spine and Sports

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tempe, AZ
National Provider Identifier
1689805194
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
SOUTHWEST SPINE AND SPORTS
Practice address
1025 E Broadway Rd
Suite 201
Tempe, AZ 85282-1599
Phone
(480) 860-8998
Fax
(480) 377-9245
NPI assigned
Jul 31, 2009
Last updated
Mar 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Michael W Wolff, M.D.NPI 1376508697
Title
President
Phone
(480) 860-8998

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X

Addresses

Primary practice location

1025 E Broadway Rd
Suite 201
Tempe, AZ 85282-1599

Mailing address

PO Box 52001
Dept 901
Phoenix, AZ 85072-2001
Phone (480) 860-8998

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

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": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1689805194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52001",
            "address_2": "DEPT 901",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722001",
            "telephone_number": "480-860-8998",
            "fax_number": "480-377-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E BROADWAY RD",
            "address_2": "SUITE 201",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821599",
            "telephone_number": "480-860-8998",
            "fax_number": "480-377-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SPINE AND SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-860-8998",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.