Organization Active NPI

Urgent Pain, LLC

Doing business as Pain MD

  • Contractor
  • Phoenix, AZ
National Provider Identifier
1932565942
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
URGENT PAIN, LLC
Doing business as
Pain MD
Practice address
6025 N. 27TH Ave
Suite 6
Phoenix, AZ 85017
Phone
(602) 428-8888
Fax
(602) 566-8149
NPI assigned
Jan 6, 2016
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Marcus Gomez
Title
Credentialing Manager
Phone
(480) 612-7480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

6025 N. 27TH Ave
Suite 6
Phoenix, AZ 85017

Mailing address

7301 E. 2ND St.
Suite 200
Scottsdale, AZ 85251-5610
Phone (480) 994-5977

Other identifiers 1

IdentifierTypeStateIssuer
124152MedicaidAZ

Other names 1

  • Pain MD Doing business as

National Provider Directory

National Provider Directory

Locations

6025 N 27th Ave
Ste 6
Phoenix, AZ 85017
Phone (602) 841-8273

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1932565942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E. 2ND ST.",
            "address_2": "SUITE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515610",
            "telephone_number": "480-994-5977",
            "fax_number": "480-990-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 N. 27TH AVE",
            "address_2": "SUITE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85017",
            "telephone_number": "602-428-8888",
            "fax_number": "602-566-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT PAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-612-7480"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124152",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.