Maryvale Pain Management, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

MARYVALE PAIN MANAGEMENT, LLC

Practice address

604 W Warner Rd Ste C2
Chandler, AZ 85225-2915

Phone

(480) 786-4644

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Seana Perea

Title

Billing Manager

Phone

(480) 737-1895

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1730765124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD STE C2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252915",
            "telephone_number": "480-786-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD STE C2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252915",
            "telephone_number": "480-786-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVALE PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "PEREA",
        "authorized_official_first_name": "SEANA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "480-737-1895"
    },
    "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": []
}

• Jerry Richard Martini, PHARM D
• Emma Martinie, LAC
• Christopher Martz
• Mary Peters DPM, LLC
• Maryvale Anesthesia, LLC
• Emad Masaih, DVM
• Shereen Masaih
• Jules Luke Mascarenhas, BDS, MSD
• Max Mashal
• Dale Masi, CFA

• 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 Mar 24, 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.