Organization Active NPI

Comprehensive Interventional Care

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
National Provider Identifier
1790128700
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Dr. Joel Rainwater, M.D.NPI 1518956499
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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.