Phoenix Spine Care, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PHOENIX SPINE CARE, INC.

Practice address

2525 E Arizona Biltmore Cir Ste D142
Phoenix, AZ 85016-2147

Phone

(602) 256-2525

Fax

(602) 256-0795

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Daniel Mark Lieberman, MD

Title

President

Phone

(602) 385-0420

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1902570708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E ARIZONA BILTMORE CIR STE D142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162147",
            "telephone_number": "602-256-2525",
            "fax_number": "602-256-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E ARIZONA BILTMORE CIR STE D142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162147",
            "telephone_number": "602-256-2525",
            "fax_number": "602-256-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX SPINE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-385-0420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@phoenixspine.com",
            "affiliation": "N",
            "address_1": "2525 E Arizona Biltmore Cir Ste D142",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850162147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phoenix Rising of Arizona LLC
• Phoenix RN First Assistant LLC
• Phoenix Skin II PC
• Phoenix Sleep Disorder Center Inc.
• Phoenix Sonographic Imaging
• Phoenix Spine Consultants
• Phoenix Spine Consultants PLLC
• Phoenix Surgery Center LLC
• Phoenix Surgical Dermatology Group LLC
• Phoenix Therapists Hub Counseling Group LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.