NPIMap

Organization Active NPI

Progressive Pain Management Inc

  • Interventional Pain Medicine Physician
  • Casa Grande, AZ
National Provider Identifier
1881866754
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PROGRESSIVE PAIN MANAGEMENT INC
Practice address
1653 E McMurray Blvd Ste 144
Casa Grande, AZ 85122-5934
Phone
(520) 836-8644
Fax
(520) 836-2499
NPI assigned
Mar 31, 2008
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
George Roger Edelen, MDNPI 1114960887
Title
MD
Phone
(520) 233-6502

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Vascular Surgery Physician 2086S0129X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

1653 E McMurray Blvd Ste 144
Casa Grande, AZ 85122-5934

Mailing address

202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677
Phone (480) 788-5621

Other practice location 1

412 Whipple St
Prescott, AZ 86301-1712
Phone (480) 788-5621

Other identifiers 1

IdentifierTypeStateIssuer
368269MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080522000123 AZ Part B Supplier - Clinic/Group Practice 1153490727 Receives reassigned benefits from 86 practitioners
Practice locations: Casa Grande, AZ

National Provider Directory

National Provider Directory

Locations

1760 E Florence Blvd
Ste 120
Casa Grande, AZ 85122
Phone (520) 426-1000

14804 N Cave Creek Rd
#200
Phoenix, AZ 85032
Phone (480) 240-5613

2971 Willow Creek Rd
Ste 3
Prescott, AZ 86301

412 Whipple St
Prescott, AZ 86301
Phone (480) 630-8103

Practitioners & affiliated clinicians

Practitioners 90

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.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1881866754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 360",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122677",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 E MCMURRAY BLVD STE 144",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225934",
            "telephone_number": "520-836-8644",
            "fax_number": "520-836-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 Whipple St",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011712",
            "country_code": "US",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "EDELEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "520-233-6502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368269",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.