PREMIER PAIN MANAGEMENT, LLC (NPI# 1174700975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174700975 |
| Entity Type | Organization |
| Organization Name | PREMIER PAIN MANAGEMENT, LLC |
| Practice Address |
4540 E Baseline Rd Ste 112 Mesa AZ 85206-4616 |
| Mailing Address |
4540 E Baseline Rd Ste 105 Mesa AZ 85206-4616 |
| Practice Telephone | 4802728944 |
| Practice Fax Number | 4802375682 |
| Mailing Telephone | 4802728944 |
| Mailing Fax Number | 4802375682 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | DR. JAMES SIEFFERT (CLINICAL ADMINISTRATOR) |
| Authorized Official Telephone | 2802728944 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
OTC4333 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | OTC LICENSCE | OTC4913 | 01 |
| Street Address |
4540 E BASELINE RD STE 112 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427557255 | United Pain Institute, Inc | Clinic/Center | 4838 E Baseline Rd Ste 109, Mesa, AZ 85206-4671 | 2018-02-07 |
| 1073124509 | Medela Vida LLC | Clinic/Center | 6020 E Brown Rd Ste 104, Mesa, AZ 85205-4812 | 2020-08-10 |
| 1083244875 | Integrated Medical Facilities | Clinic/Center | 2919 S Ellsworth Rd Ste 109, Mesa, AZ 85212-2165 | 2020-01-21 |
| 1841515756 | Dcmd Pain Management Pllc | Clinic/Center | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2010-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932717550 | Regenthetics, LLC | Clinic/Center | 903 E State Highway 260 Ste 4, Payson, AZ 85541-4972 | 2020-07-20 |
| 1336786003 | Guadalupe Pain Ventures LLC | Clinic/Center | 1450 W Guadalupe Rd Ste 24, Gilbert, AZ 85233-3042 | 2019-12-02 |
| 1376020685 | Andoloris Medical, Pllc | Clinic/Center | 3417 N 32nd St Ste B, Phoenix, AZ 85018-5606 | 2018-07-19 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1356879993 | Smith Chiropractic Pllc | Clinic/Center | 3200 S Rural Rd Ste 3, Tempe, AZ 85282-3870 | 2017-05-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1336506419 | Arizona Headache Center, Pllc | Clinic/Center | 8591 E Bell Rd Ste 100, Scottsdale, AZ 85260-1305 | 2016-01-21 |
| 1417322504 | Respira LLC | Clinic/Center | 1733 E Louis Way, Tempe, AZ 85284-1676 | 2015-12-01 |
| 1679906176 | Spine & Sports Rehabilitation Institute | Clinic/Center | 2600 E. Southern Ave., I-1, Tempe, AZ 85282-7738 | 2013-08-20 |
| 1013359165 | West Valley Pain Solutions, LLC | Clinic/Center | 9140 W Thomas Rd, Suite B-106, Phoenix, AZ 85037-3378 | 2013-07-17 |
| 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.