Red Butte Healthcare

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

RED BUTTE HEALTHCARE

Doing business as

Red Butte Pain Solutions

Practice address

5590 W Chandler Blvd Ste 3
Chandler, AZ 85226-3744

Phone

(602) 633-4334

NPI assigned

Jul 7, 2021

Last updated

Nov 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karl Hurst-Wicker, MDNPI 1962698654

Title

Ceo

Phone

(602) 633-4334

Specialties & licenses 1

Addresses

Other names 1

• Red Butte Pain Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFBFCD

Practitioners 5

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.

• Karl Seth Hurst-Wicker, M.D.

  • Interventional Pain Medicine Physician
  • Chandler, AZ
  • NPI 1962698654
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Marie Vasquez, PA-C

  • Physician Assistant
  • Chandler, AZ
  • NPI 1881255230
  Medicare reassignment Care Compare group NPD
• Rachael Aline Henninger, PA-C

  • Physician Assistant
  • Chandler, AZ
  • NPI 1366016495
  Medicare reassignment
• Jennifer K. Dais, M.D.

  • Interventional Pain Medicine Physician
  • Peoria, AZ
  • NPI 1982982591
  NPD (past)
• Edward Marion Podgorski III III, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tampa, FL
  • NPI 1760832828

  Interventional Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1720659048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263744",
            "telephone_number": "602-633-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263744",
            "telephone_number": "602-633-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4611 E Shea Blvd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850284259",
            "country_code": "US",
            "telephone_number": "602-633-4334",
            "fax_number": "888-815-1389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED BUTTE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "HURST-WICKER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-633-4334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Butte Pain Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red Butte Pain Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Interventional Pain Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.