Organization Active NPI

Integrated Pain Management Solutions PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
National Provider Identifier
1952775256
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
28649 Issued in AZ
Legal business name
INTEGRATED PAIN MANAGEMENT SOLUTIONS PLLC
Practice address
4045 E Bell Rd
Suite 147
Phoenix, AZ 85032-2236
Phone
(602) 795-0207
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Dr. Eric Church, M.D.
Title
Physician
Phone
(602) 795-0207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 28649 AZ Primary

Addresses

Primary practice location

4045 E Bell Rd
Suite 147
Phoenix, AZ 85032-2236

Mailing address

4566 E Via Los Caballos
Phoenix, AZ 85028-6140
Phone (602) 740-1282

National Provider Directory

National Provider Directory

Locations

4045 E Bell Rd
Ste 147
Phoenix, AZ 85032
Phone (602) 562-4197

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1952775256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E VIA LOS CABALLOS",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286140",
            "telephone_number": "602-740-1282",
            "fax_number": "602-279-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "SUITE 147",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322236",
            "telephone_number": "602-795-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN MANAGEMENT SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-795-0207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "28649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 25, 2015; 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.