NPIMap

Organization Active NPI

Prime Medical Pain Management Centers II PLC

  • Pain Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1871042432
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PRIME MEDICAL PAIN MANAGEMENT CENTERS II PLC
Practice address
4527 N 27TH Ave
Phoenix, AZ 85017-3702
Phone
(602) 300-4754
Fax
(602) 249-1614
NPI assigned
Sep 23, 2016
Last updated
Dec 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Roger Baker, MDNPI 1881774156
Title
Partner
Phone
(602) 300-4754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

4527 N 27TH Ave
Phoenix, AZ 85017-3702

Mailing address

4527 N 27TH Ave
Phoenix, AZ 85017-3702
Phone (602) 300-4754

National Provider Directory

National Provider Directory

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": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1871042432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173702",
            "telephone_number": "602-300-4754",
            "fax_number": "602-249-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173702",
            "telephone_number": "602-300-4754",
            "fax_number": "602-249-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL PAIN MANAGEMENT CENTERS II PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "602-300-4754",
        "authorized_official_credential": "MD"
    },
    "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 Dec 14, 2016; 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.