Organization Active NPI

Peak Wellness Institute

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
National Provider Identifier
1992205512
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
50572 Issued in AZ
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ARIZONA WELLNESS SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.