Organization Active NPI

PMC Pain Management Center PLLC

  • Pain Clinic/Center
  • Peoria, AZ
National Provider Identifier
1952655110
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PMC PAIN MANAGEMENT CENTER PLLC
Practice address
8914 N.91 Ave
Peoria, AZ 85345
Phone
(623) 877-0100
Fax
(623) 328-7386
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Gary Gold
Title
Partner
Phone
(602) 703-7276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

8914 N.91 Ave
Peoria, AZ 85345

Mailing address

8914 N.91 Ave
Suite 100B
Peoria, AZ 85260
Phone (623) 877-0100

National Provider Directory

National Provider Directory

Locations

8914 N 91st Ave
Ste 100B
Peoria, AZ 85345
Phone (623) 877-0100

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1952655110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8914 N.91 AVE",
            "address_2": "SUITE 100B",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "623-877-0100",
            "fax_number": "623-328-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8914 N.91 AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85345",
            "telephone_number": "623-877-0100",
            "fax_number": "623-328-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC PAIN MANAGEMENT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "602-703-7276"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.