NPIMap

Organization Active NPI

Southwest Spine and Sports

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Glendale, AZ
National Provider Identifier
1689993552
Registry record updated Sep 1, 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
18275 N 59TH Ave
Suite F-132
Glendale, AZ 85308-1260
Phone
(480) 860-8998
Fax
(480) 377-9245
NPI assigned
May 18, 2010
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Dr. Michael Warren 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 NU Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X NU

Addresses

Primary practice location

18275 N 59TH Ave
Suite F-132
Glendale, AZ 85308-1260

Mailing address

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

18275 N 59th Ave
#F132
Glendale, AZ 85308

18275 N 59th Ave
Ste F132
Glendale, AZ 85308
Phone (480) 860-8998

1025 E Broadway Rd
Tempe, AZ 85282
Phone (480) 829-0217

1025 E Broadway Rd
Ste 201
Tempe, AZ 85282
Phone (480) 377-9320

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1689993552",
    "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": "18275 N 59TH AVE",
            "address_2": "SUITE F-132",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "480-860-8998",
            "fax_number": "480-377-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SPINE AND SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-860-8998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.