Active NPI
Peak Wellness Institute
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
National Provider Identifier
1992205512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 50572
- Legal business name
- PEAK WELLNESS INSTITUTE
- Practice address
- 20950 N Tatum Blvd Ste 100
Phoenix, AZ 85050-4204 - Phone
- (480) 222-7246
- NPI assigned
- Feb 20, 2018
- Last updated
- Feb 20, 2018
- Organization subpart
- Yes
- Parent organization
- ARIZONA WELLNESS SOLUTIONS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deanna M Conner
- Title
- Office
- Phone
- (623) 238-8424
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L15479R | LA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 50572 | AZ | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | AZ | ||
| Pain Medicine Physician | 208VP0000X | D01889748 | AZ |
Addresses
Primary practice location
20950 N Tatum Blvd Ste 100
Phoenix, AZ 85050-4204
Mailing address
20950 N Tatum Blvd Ste 100
Phoenix, AZ 85050-4204
Phone (480) 222-7246
National Provider Directory
National Provider Directory- Part of
- Peak Wellness Institute
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519084800000",
"number": "1992205512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20950 N TATUM BLVD STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850504204",
"telephone_number": "480-222-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20950 N TATUM BLVD STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850504204",
"telephone_number": "480-222-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK WELLNESS INSTITUTE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ARIZONA WELLNESS SOLUTIONS",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A",
"authorized_official_last_name": "CONNER",
"authorized_official_first_name": "DEANNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE",
"authorized_official_telephone_number": "623-238-8424"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "L15479R",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "50572",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "AZ",
"license": "D01889748",
"primary": false
}
],
"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 Feb 20, 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.