THE PAIN INSTITUTE OF SOUTHERN ARIZONA PC (NPI# 1104449628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104449628 |
| Entity Type | Organization |
| Organization Name | THE PAIN INSTITUTE OF SOUTHERN ARIZONA PC |
| Other Organization Name | PAIN INSTITUTE OF SOUTHERN ARIZONA |
| Practice Address |
2241 W 16th Street Safford AZ 85546 |
| Mailing Address |
4881 E Grant Road Suite 101 Tucson AZ 85712-2704 |
| Practice Telephone | 5208296900 |
| Practice Fax Number | 5208296661 |
| Mailing Telephone | 5203186035 |
| Mailing Fax Number | 5208296661 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | JOHN H COLE (CEO) |
| Authorized Official Telephone | 5208296776 |
| Is Organization Subpart | Y |
| Parent Organization Name | PAIN INSTITUTE OF SOUTHERN ARIZONA PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 526906 | 05 |
| Other Name | Type Code |
|---|---|
| Pain Institute of Southern Arizona | Doing Business As Name - Organization |
| Street Address |
2241 W 16TH STREET |
| City | SAFFORD |
| State | AZ |
| Zip Code | 85546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114490836 | Ponderosa Aviation, Inc | Ambulance | 4500 Aviation Way, Safford, AZ 85546 | 2019-01-04 |
| 1053828160 | Easter Seals Blake Foundation | Community/Behavioral Health | 618 South Central Avenue, Safford, AZ 85546 | 2018-01-10 |
| 1508238700 | Southeastern Arizona Consumer-run Services | Clinic/Center | 628 Main St., Safford, AZ 85546 | 2015-10-27 |
| 1457774465 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1952 W Thatcher Blvd, Safford, AZ 85546 | 2014-01-27 |
| 1841634060 | Rs5 Investments LLC | Family Medicine | 1515 S. 20th Ave, Safford, AZ 85546 | 2013-04-18 |
| 1689946162 | South Eastern Arizona Behavioral Health Services, Inc. | Clinic/Center | 1609 S. 1st Ave, Safford, AZ 85546 | 2012-01-31 |
| 1669741435 | Southeastern Arizona Behavioral Health Services, Inc | Clinic/Center | 1609 S 1st Ave, Safford, AZ 85546 | 2011-12-22 |
| 1912295106 | Canyonlands | Clinic/Center | 618 S. Central Avenue, Safford, AZ 85546 | 2011-07-21 |
| 1255669354 | Dovetree Counseling Associates, Inc. | Community/Behavioral Health | 1906 Thatcher Blvd, Safford, AZ 85546 | 2009-12-01 |
| 1275766800 | Jesse Robert Coons | Family Medicine | 896 S Cook Rd, Safford, AZ 85546 | 2009-08-31 |
| Find all providers in zip 85546 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679923 | Advanced Spine and Pain LLC | Anesthesiology | 4566 E Inverness Ave Ste 205, Mesa, AZ 85206-4634 | 2020-11-03 |
| 1043832223 | Desert Anesthesia Specialists LLC | Anesthesiology | 8865 E Bell Rd Ste 101, Scottsdale, AZ 85260-1594 | 2020-05-11 |
| 1841811106 | Bcg Anesthesia Pllc | Anesthesiology | 12955 N 145th Ave, Surprise, AZ 85379-4487 | 2020-04-28 |
| 1891344958 | Orion Pain Corp | Anesthesiology | 16700 N Thompson Peak Pkwy Ste 170, Scottsdale, AZ 85260-2386 | 2019-09-10 |
| 1558826438 | Agave Anesthesia LLC | Anesthesiology | 5533 E Bell Rd Ste 111, Scottsdale, AZ 85254-1256 | 2019-02-05 |
| 1083179014 | Hope Clinic of Integrative Medicine, LLC | Anesthesiology | 208 W Chandler Heights Rd # 101, Chandler, AZ 85248-5065 | 2019-02-04 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1164916953 | Orion Pain Physicians Pllc | Anesthesiology | 10133 N 92nd St., Suite 102, Scottsdale, AZ 85258-4805 | 2018-06-15 |
| 1538661822 | Anesthesia Solution of Arizona, LLC | Anesthesiology | 1450 W Guadalupe Rd Ste 124, Gilbert, AZ 85233-3056 | 2018-03-02 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| Find all providers with the same taxonomy | ||||
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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.