PC Pain Doctors II, PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PC PAIN DOCTORS II, PLLC

Practice address

919 12TH PL Ste 12a
Prescott, AZ 86305-1433

Phone

(928) 771-2700

Fax

(928) 771-2747

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Jessica Haney

Title

Business Manager

Phone

(520) 421-0986

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1992018832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 12TH PL STE 12A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051433",
            "telephone_number": "928-771-2700",
            "fax_number": "928-771-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 12TH PL STE 12A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051433",
            "telephone_number": "928-771-2700",
            "fax_number": "928-771-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC PAIN DOCTORS II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "520-421-0986"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mae Patterson, PT
• Sandra Patterson, LMT
• Brenda C Patton, MD
• Matthew Pavelka, M.D.
• Ben Eugene Paxton, M.D.
• Peaks Primary Care, LLC
• Peaks Youth Behavioral Health Center, LLC
• Peaks Youth Behavioral Health Center, LLC
• Peaks Youth Behavoral Center LLC
• Michele H Pearson, RN

• Pain Clinic/Center in Prescott, AZ
• Providers in Prescott, 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 Jan 17, 2020; 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.