Advanced Pain Modalities, PLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

ADVANCED PAIN MODALITIES, PLC

Practice address

3195 W Ray Rd
Suite #1
Chandler, AZ 85226-2417

Phone

(480) 756-6789

Fax

(480) 246-8902

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Lakshman GollapalliNPI 1578850756

Title

Owner

Phone

(480) 756-6789

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lakshman Gollapalli, M.D.

  • Interventional Pain Medicine Physician
  • Chandler, AZ
  • NPI 1578850756

  AZ, Pain Medicine

  Medicare reassignment NPD Authorized official
• Joy Andrews, PA-C

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1124545041

  AZ

  Medicare reassignment
• Amalia Camille Collins, PA-C

  • Surgical Physician Assistant
  • Chandler, AZ
  • NPI 1831603604

  AZ

  Medicare reassignment
• Trinity Frazee, RN

  • Nurse Practitioner
  • Gilbert, AZ
  • NPI 1265120281
  NPD
• Kaitlyn Mackenzie Vinton, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1710685664
  NPD
• Shannon Brooke Daniels, NP

  • Gerontology Nurse Practitioner
  • Mesa, AZ
  • NPI 1588464697
  NPD (past)
• Jillian Elizabeth Glover, FNP-C

  • Nurse Practitioner
  • Mesa, AZ
  • NPI 1952087173
  NPD (past)
• Paula Sue Bostick, FNP-BC

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1962634063
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1760639058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 W RAY RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262417",
            "telephone_number": "480-756-6789",
            "fax_number": "480-246-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 W RAY RD",
            "address_2": "SUITE #1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262417",
            "telephone_number": "480-756-6789",
            "fax_number": "480-246-8902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6750 E Broadway Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061700",
            "country_code": "US",
            "telephone_number": "480-756-6789",
            "fax_number": "480-246-8902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PAIN MODALITIES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "GOLLAPALLI",
        "authorized_official_first_name": "LAKSHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-756-6789"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Surgical Physician Assistants, LLC

• All providers in Chandler, AZ
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.

Verify at the official NPI Registry.