The Pain Center of Arizona, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE PAIN CENTER OF ARIZONA, PC

Practice address

20333 N 19TH Ave Ste 100
Phoenix, AZ 85027

Phone

(623) 516-8252

Fax

(623) 516-8253

NPI assigned

Jul 17, 2014

Last updated

Jun 14, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

THE PAIN CENTER OF ARIZONA,PCAs reported in NPPES

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

Authorized official

Name

Cathy Hardesty

Title

Director of Admin. Operations

Phone

(623) 241-6101

Specialties & licenses 1

Addresses

Other names 1

• DV DME Other name

Part of

Pain Center of Arizona PC

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1902213325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053105",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN CENTER OF ARIZONA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PAIN CENTER OF ARIZONA,PC",
        "enumeration_date": "2014-07-17",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "HARDESTY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "DIRECTOR OF ADMIN. OPERATIONS",
        "authorized_official_telephone_number": "623-241-6101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DV DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Pain Center of Arizona, PC
• The Pain Center of Arizona, PC
• The Pain Center of Arizona, PC
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• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.