Active NPI
Innovative Pain and Wellness PLC
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- INNOVATIVE PAIN AND WELLNESS PLC
- Practice address
- 1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916 - Phone
- (480) 467-2273
- NPI assigned
- Aug 9, 2023
- Last updated
- Aug 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Karl Oconnor
- Title
- Owner
- Phone
- (480) 306-7242
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916
Mailing address
18511 N Scottsdale Rd Ste 202
Scottsdale, AZ 85255-9694
Phone (480) 306-7242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231110001107 | AZ | DME Supplier - Physician - Anesthesiology | 0840567111 | Practice locations: Phoenix, AZ |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Pain Medicine (Anesthesiology) Physician
- Scottsdale, AZ
- NPI 1396428009
0840567111
-
- Pain Medicine (Anesthesiology) Physician
- Mesa, AZ
- NPI 1558044263
0840567111
-
- Interventional Pain Medicine Physician
- Scottsdale, AZ
- NPI 1659812444
0840567111
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2233942 | Innovative Pain & Wellness, PLC | Accreditation | Apr 28, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Innovative Pain and Wellness PLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine (Anesthesiology) Physician
- Scottsdale, AZ
- NPI 1396428009
-
- Pain Medicine (Anesthesiology) Physician
- Mesa, AZ
- NPI 1558044263
-
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
- NPI 1760092316
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.
-
- Interventional Pain Medicine Physician
- Scottsdale, AZ
- NPI 1629049457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691539200000",
"number": "1750064465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18511 N SCOTTSDALE RD STE 202",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852559694",
"telephone_number": "480-306-7242",
"fax_number": "480-306-6246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 E MISSOURI AVE STE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142916",
"telephone_number": "480-467-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE PAIN AND WELLNESS PLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A",
"authorized_official_last_name": "OCONNOR",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "KARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-306-7242"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Innovative Inpatient Services, PC
- Innovative Minds Behavioral Health Services
- Innovative Neuropathy Treatment Institute, PLLC
- Innovative Pain and Wellness PLC
- Innovative Pain and Wellness PLC
- Innovative Pain and Wellness PLC
- Innovative Speech Therapy, LLC
- Innovative Therapeutic Services
- Allison Kate Inouye, DDS
- Inside Access, LLC (Inside Access)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.