Arizona Spine Specialist PLLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

ARIZONA SPINE SPECIALIST PLLC

Practice address

1635 E Myrtle Ave Ste 400
Phoenix, AZ 85020-5514

Phone

(214) 396-3936

Fax

(214) 378-4664

NPI assigned

Sep 15, 2015

Last updated

Oct 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Brandy K Barrow

Title

Credentialing Coordinator

Phone

(214) 396-3936

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1861861395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674074",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674074",
            "telephone_number": "214-396-3936",
            "fax_number": "214-378-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 E MYRTLE AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205514",
            "telephone_number": "214-396-3936",
            "fax_number": "214-378-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SPINE SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "214-396-3936",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Spine and Pain Specialists, LLC (AZ Pain Doctors)
• Arizona Spine and Sports Medicine, PLLC
• Arizona Spine Care PLC
• Arizona Spine Center, LLC
• Arizona Spine Consultants
• Arizona Sports and Spine Physicians, P.C.
• Arizona Sports Chiropractic
• Arizona Sports Medicine Consultants PC
• Arizona Star Health Services
• Arizona State Public Health Laboratory (ADHS Newborn Screening Program)

• Orthopaedic Surgery of the Spine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthopaedic Surgery of the Spine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.