NPIMap

Organization Active NPI

Comprehensive Interventional Care Centers, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Tempe, AZ
National Provider Identifier
1902644594
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Practice address
6301 S McClintock Dr Ste 115
Tempe, AZ 85283-3393
Phone
(480) 775-8460
NPI assigned
Jul 17, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Joel R. RainwaterNPI 1518956499
Title
Cmo
Phone
(480) 374-7354

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

6301 S McClintock Dr Ste 115
Tempe, AZ 85283-3393

Mailing address

PO Box 208313
Dallas, TX 75320-8313

Other names 1

  • Comprehensive Integrated Care Former legal business name

National Provider Directory

National Provider Directory

Locations

2301 N 4th St
Flagstaff, AZ 86004
Phone (928) 719-7400

4001 E Baseline Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 532-4060

140 S Power Rd
Ste 102
Mesa, AZ 85206
Phone 4809454343212

3514 N Power Rd
Ste 105
Mesa, AZ 85215
Phone (480) 422-8533

10214 N Tatum Blvd
Ste B300
Phoenix, AZ 85028
Phone (480) 469-6866

10214 N Tatum Blvd
Ste A1200
Phoenix, AZ 85028
Phone (480) 567-9765

14418 W Meeker Blvd
Ste B210
Sun City West, AZ 85375
Phone (480) 770-4615

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1902644594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208313",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 S MCCLINTOCK DR STE 115",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833393",
            "telephone_number": "480-775-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "RAINWATER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "480-374-7354"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Integrated Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.