The Pain Center of Arizona, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE PAIN CENTER OF ARIZONA, PC

Practice address

9401 W Thunderbird Rd
Suite 180
Peoria, AZ 85381-4233

Phone

(623) 516-8252

Fax

(623) 516-8253

NPI assigned

Jul 17, 2014

Last updated

Sep 10, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

THE PAIN CENTER OF ARIZONA, PCAs reported in NPPES

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

Authorized official

Name

Cathy Hardesty

Title

Director of Admin Operations

Phone

(623) 241-6101

Specialties & licenses 1

Addresses

Other names 1

• Peoria DME Other name

Part of

The Pain Center of Arizona PC

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1720495146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053105",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 W THUNDERBIRD RD",
            "address_2": "SUITE 180",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814233",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN CENTER OF ARIZONA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PAIN CENTER OF ARIZONA, PC",
        "enumeration_date": "2014-07-17",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "HARDESTY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "DIRECTOR OF ADMIN OPERATIONS",
        "authorized_official_telephone_number": "623-241-6101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peoria DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Legacy Institute
• The Lets Build Foundation
• The Love Lab PLLC (Love Lab)
• The Pain Center of Arizona, PC
• The Pain Center of Arizona, PC
• The Platform Performance and Sports Rehab, PLLC
• The Pulmonary Place
• The Righteous Way, LLC (ComForCare Home Care- Northern NW Valley)
• The Servant Group LLC
• Theracare PLLC

• Durable Medical Equipment & Medical Supplies in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.