Active NPI
Premier Pain Specialists LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Phoenix, AZ
National Provider Identifier
1831711019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- PREMIER PAIN SPECIALISTS LLC
- Practice address
- 4045 E Bell Rd Ste 147
Phoenix, AZ 85032-2239 - Phone
- (602) 562-4197
- NPI assigned
- May 11, 2020
- 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. Jeffrey A Lynn, DC
- Title
- Ceo
- Phone
- (026) 795-0207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
4045 E Bell Rd Ste 147
Phoenix, AZ 85032-2239
Mailing address
4045 E Bell Rd Ste 149
Phoenix, AZ 85032-2239
Phone (602) 795-0207
Other practice location 1
9242 W Union Hills Dr Ste 100
Peoria, AZ 85382-8219
Phone (602) 795-0207
Other practice location 2
8865 E Bell Rd Ste 101
Scottsdale, AZ 85260-1594
Phone (602) 795-0207
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Phoenix |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618185600000",
"number": "1831711019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 E BELL RD STE 149",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322239",
"telephone_number": "602-795-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 E BELL RD STE 147",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322239",
"telephone_number": "602-562-4197"
}
],
"practiceLocations": [
{
"address_1": "9242 W Union Hills Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853828219",
"country_code": "US",
"telephone_number": "602-795-0207",
"fax_number": "602-795-4514",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8865 E Bell Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852601594",
"country_code": "US",
"telephone_number": "602-795-0207",
"fax_number": "602-795-4514",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PREMIER PAIN SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-11",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A",
"authorized_official_last_name": "LYNN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "026-795-0207",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Phoenix",
"affiliation": "N",
"address_1": "4045 E Bell Rd Ste 147",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850322239",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.