Valley Integrated Medicine, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

31029 Issued in AZ

Legal business name

VALLEY INTEGRATED MEDICINE, LLC

Practice address

6036 N 19TH Ave Ste 405
Phoenix, AZ 85015-2142

Phone

(602) 424-4450

Fax

(602) 445-7342

NPI assigned

Jun 29, 2010

Organization subpart

No

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

Authorized official

Name

James O Boehle

Title

Director

Phone

(602) 424-4450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1750692372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 405",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152142",
            "telephone_number": "602-424-4450",
            "fax_number": "602-445-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 405",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152142",
            "telephone_number": "602-424-4450",
            "fax_number": "602-445-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INTEGRATED MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "BOEHLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-424-4450"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "31029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Group Homes LLC
• Valley Home Behavioral Health LLC
• Valley Home Care, LLC
• Valley Independent Residential LLC
• Valley Integrated Health, LLC
• Valley Intergrative Physicians PLLC
• Valley Lighthouse Assisted Living LLC
• Valley Mental Health & Psychiatric Services, LLC
• Valley Mt LLC
• Valley Multi Surgical Specialists LLC

• Pain Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.