Active NPI
Comprehensive Interventional Care
- Vascular & Interventional Radiology Physician
- Mesa, AZ
National Provider Identifier
1790128700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- COMPREHENSIVE INTERVENTIONAL CARE
- Practice address
- 6309 E Baywood Ave
Mesa, AZ 85206-1744 - Phone
- (480) 818-5635
- NPI assigned
- Apr 9, 2013
- Last updated
- Jan 24, 2018
- 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
- Dr. Joel Rainwater, M.D.
- Title
- Sole Member
- Phone
- (480) 818-5635
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
6309 E Baywood Ave
Mesa, AZ 85206-1744
Mailing address
21297 N 110TH Way
Scottsdale, AZ 85255-3391
Phone (480) 219-0123
National Provider Directory
National Provider DirectoryLocations
6309 E Baywood Ave
Mesa, AZ 85206
Phone (480) 325-3801
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.
-
- Diagnostic Radiology Physician
- Gilbert, AZ
- NPI 1518956499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516752000000",
"number": "1790128700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21297 N 110TH WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852553391",
"telephone_number": "480-219-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6309 E BAYWOOD AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061744",
"telephone_number": "480-818-5635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE INTERVENTIONAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-09",
"last_updated": "2018-01-24",
"status": "A",
"authorized_official_last_name": "RAINWATER",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "480-818-5635",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Compassion Care Home, LLC (Compassion Care Transport, LLC)
- Compassionate Care and Staffing LLC
- Complete Care Medical Group LLC
- Complete Psychological School Services
- Comprehensive Hospitalist Services of Arizona LLC
- Comprehensive Interventional Care Centers, PLLC
- Xavier Eamon Compton
- Compudiagnostics Inc
- Hayley Comrie, CPNP
- Concentra Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.