Active NPI
PD Ambulatory Pain Treatment Center, LLC
- Pain Clinic/Center
- Phoenix, AZ
National Provider Identifier
1821565474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- PD AMBULATORY PAIN TREATMENT CENTER, LLC
- Practice address
- 1301 E McDowell Rd Ste 100
Phoenix, AZ 85006-2605 - Phone
- (480) 207-1835
- NPI assigned
- Oct 31, 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
- Adam Lerner
- Title
- General Counsel
- Phone
- (480) 245-6151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
1301 E McDowell Rd Ste 100
Phoenix, AZ 85006-2605
Mailing address
9977 N 90TH St Ste 350
Scottsdale, AZ 85258-4434
Phone (480) 207-1835
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540944000000",
"number": "1821565474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9977 N 90TH ST STE 350",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584434",
"telephone_number": "480-207-1835",
"fax_number": "480-245-6197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E MCDOWELL RD STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062605",
"telephone_number": "480-207-1835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PD AMBULATORY PAIN TREATMENT CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-31",
"last_updated": "2018-10-31",
"status": "A",
"authorized_official_last_name": "LERNER",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "480-245-6151"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.