Active NPI
Pain Treatment Center of Tempe
- Ambulatory Surgical Clinic/Center
- Tempe, AZ
National Provider Identifier
1811378631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PAIN TREATMENT CENTER OF TEMPE
- Practice address
- 4515 S. McClintock Drive
Suite 114
Tempe, AZ 85282 - Phone
- (480) 820-5603
- Fax
- (480) 323-2323
- NPI assigned
- Jun 17, 2015
- 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
- Michael Burrola
- Title
- General Manager
- Phone
- (480) 820-5603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4515 S. McClintock Drive
Suite 114
Tempe, AZ 85282
Mailing address
4515 S. McClintock Drive
Suite 114
Tempe, AZ 85282
Phone (480) 820-5603
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508198400000",
"number": "1811378631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 S. MCCLINTOCK DRIVE",
"address_2": "SUITE 114",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "480-820-5603",
"fax_number": "480-323-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 S. MCCLINTOCK DRIVE",
"address_2": "SUITE 114",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "480-820-5603",
"fax_number": "480-323-2323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN TREATMENT CENTER OF TEMPE",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-17",
"last_updated": "2017-10-17",
"status": "A",
"authorized_official_last_name": "BURROLA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "480-820-5603"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.