SPINECARE OF PHOENIX LLC (NPI# 1104069145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104069145 |
| Entity Type | Organization |
| Organization Name | SPINECARE OF PHOENIX LLC |
| Practice Address |
16222 N 59th Ave Ste A-100 Glendale AZ 85306-1701 |
| Mailing Address |
Po Box 864483 Orlando FL 32886-4483 |
| Practice Telephone | 9413601566 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |
| Authorized Official Name | CARL R. NOBACK (OWNER) |
| Authorized Official Telephone | 9413601566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
16222 N 59TH AVE STE A-100 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881694917 | Dean F. Weinberg | Chiropractor | 16222 N 59th Ave, Suite A-100, Glendale, AZ 85306-1701 | 2005-07-29 |
| 1578921466 | Arrowhead Pro Sleep LLC | Clinic/Center | 16222 N 59th Ave, D170, Glendale, AZ 85306-1701 | 2016-02-05 |
| 1801275540 | Roselyn Ranon | Naturopath | 16222 N 59th Ave, Suite A-100, Glendale, AZ 85306-1701 | 2015-05-27 |
| 1700279379 | Arrowhead Health Centers | Clinic/Center | 16222 N 59th Ave, Glendale, AZ 85306-1701 | 2015-03-06 |
| 1497174122 | Hilary Delph | Physical Therapy Assistant | 16222 N 59th Ave, Suite A100, Glendale, AZ 85306-1701 | 2014-04-09 |
| 1518308683 | Sun Imaging Associates Plc | Radiology | 16222 N 59th Ave, Suite C-150, Glendale, AZ 85306-1701 | 2013-07-17 |
| 1790022275 | Jessica Nystrom | Nurse Practitioner | 16222 N 59th Ave, Suite A100, Glendale, AZ 85306-1705 | 2013-01-03 |
| 1316203375 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 16222 N 59th Ave, #a-100, Glendale, AZ 85306-1701 | 2012-04-04 |
| 1669777348 | Eagle Pharmacy, LLC | Pharmacy | 16222 N 59th Ave, Suite D175, Glendale, AZ 85306-1701 | 2011-01-11 |
| 1003119272 | Charles Clark Jr. | Chiropractor | 16222 N 59th Ave, Suite A100, Glendale, AZ 85306-1705 | 2010-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093001851 | Brian Curtin | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2011-06-21 |
| 1922278381 | Glendale Pain Medicine Associates Inc | Pain Medicine | 710 S Central Ave Ste 340, Glendale, CA 91204-4647 | 2008-03-01 |
| 1740889021 | Midwest Interventional Pain and Diagnostics | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2020-10-19 |
| 1033749023 | Rum LLC | Pain Medicine | 20325 N 51st Ave Ste 102, Glendale, AZ 85308-5665 | 2020-01-19 |
| 1508338765 | Ghomri Health Care Inc | Pain Medicine | 1100 E Broadway Ste 301, Glendale, CA 91205-1380 | 2018-12-27 |
| 1568849990 | Brandon Ian Roth | Pain Medicine | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2015-05-06 |
| 1679785695 | Christopher J. Charbonnet, M.d., A Professional Corporation | Pain Medicine | 1530 E Chevy Chase Dr, Ste 204, Glendale, CA 91206-4163 | 2007-05-03 |
| 1184746380 | Christopher K Kaypekian | Pain Medicine | 1500 S Central Ave, Suite 126, Glendale, CA 91204-2530 | 2007-04-06 |
| 1619950375 | Steven J. Donatello | Pain Medicine | 575 W River Woods Pkwy, #205, Glendale, WI 53212-1003 | 2005-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842485 | Southwest Pain Solutions, LLC | Pain Medicine | 6401 E Caron Dr, Paradise Valley, AZ 85253-1862 | 2020-05-08 |
| 1801422209 | Akg Medical Consulting Pllc | Pain Medicine | 7425 E Shea Blvd # 14, Scottsdale, AZ 85260-6411 | 2020-03-17 |
| 1821652686 | Randall S. Prust Md PC | Pain Medicine | 6060 N Fountain Plaza Dr Ste 170, Tucson, AZ 85704-7875 | 2019-04-26 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1861964686 | Choice Pain Solutions Treatment Center | Pain Medicine | 10565 N Tatum Blvd Ste B115, Paradise Valley, AZ 85253-1095 | 2018-12-18 |
| 1679070379 | Dessert Ridge Professional LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2018-04-09 |
| 1982124582 | Phoenix Pain Treatment Centers, Pllc | Pain Medicine | 9140 W Thomas Rd Ste B-106, Phoenix, AZ 85037-3378 | 2017-06-23 |
| 1538699491 | Jtm Healthcarellc | Pain Medicine | 12049 W Indian School Road, Suite B210, Avondale, AZ 85392-9505 | 2017-06-14 |
| 1568909562 | T&d Health LLC | Pain Medicine | 30099 N 129th Dr, Peoria, AZ 85383-5267 | 2017-01-27 |
| 1205292315 | Advanced Back and Neck, LLC | Pain Medicine | 1055 W Queen Creek Rd Ste 3, Chandler, AZ 85248-8134 | 2016-01-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.