Geriatric and Pain Health LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

GERIATRIC AND PAIN HEALTH LLC

Practice address

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676

Phone

(734) 961-2979

NPI assigned

May 11, 2024

Last updated

May 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Domtila J Mwei, NURSE PRACTIONERNPI 1972879732

Title

Owner NP

Phone

(734) 961-2979

Specialties & licenses 1

Addresses

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.

• Domtila J Mwei, NP

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1972879732
  NPD Authorized official

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1902654197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 E BILLINGS ST UNIT 147",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852077592",
            "telephone_number": "734-961-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046676",
            "telephone_number": "734-961-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC AND PAIN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "MWEI",
        "authorized_official_first_name": "DOMTILA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER NP",
        "authorized_official_telephone_number": "734-961-2979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTIONER"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Rollin Gerchick, D.O.
• Sandra Elena Gerdes, LPC
• Stephanie Leigh Gerdes, COTA
• Tara Gerdon-Drappo, LMSW
• Yana V Gerhardt, DMD
• Allen Max Germaine Jr., MD
• Monica Luise Germaine, R.N.
• German Dobson CVS L.L.C.
• German Dobson CVS LLC (CVS Pharmacy #05814)
• German Dobson CVS LLC (CVS Pharmacy #16765)

• Pain Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pain Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.