Christine Samir Haddad, M.D., PHD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

63325 Issued in AZ

Practice address

1277 E Missouri Ave Ste 102
Phoenix, AZ 85014

Phone

(480) 991-3005

NPI assigned

Mar 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Anesthesiology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Innovative Pain and Wellness PLCGroup PAC ID 0840567111, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Pain and Wellness PLC

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1659812444
  Medicare reassignment Care Compare group NPD
• Anesthesia Partners of Arizona LLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1619452901

  AZ

  Medicare reassignment NPD
• Innovative Pain and Wellness PLC

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
  • NPI 1396428009
  NPD
• Optimum Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
  • NPI 1992238661
  NPD (past)

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1972965168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 E MISSOURI AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142916",
            "telephone_number": "480-991-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 E MISSOURI AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85014",
            "telephone_number": "480-991-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "CHRISTINE",
        "middle_name": "SAMIR",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "63325",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "63325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christine.haddad@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1277 E Missouri Ave Ste 102",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Hackett, LMSW
• Mark S Hackman, MD
• Amanda Aaron Hackwell, PHD
• Homyra Hadavand, M.D.
• Ashley Haddad
• Imad Haddad, M.D.
• Kim Nicole Haddad, LMSW
• Marisa Louise Haddad, DPM
• Oriana Haddad, DMD
• Reem Haddad, M.D.

• Pain Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.