ARIZONA PAIN AND SPINE INSTITUTE PLLC (NPI# 1316147242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316147242 |
| Entity Type | Organization |
| Organization Name | ARIZONA PAIN AND SPINE INSTITUTE PLLC |
| Practice Address |
2045 S Vineyard Suite 131 Mesa AZ 85210-6889 |
| Mailing Address |
Po Box 3187 Tempe AZ 85280-3187 |
| Practice Telephone | 4809867246 |
| Practice Fax Number | 4809867252 |
| Mailing Telephone | 4809867246 |
| Mailing Fax Number | 4809867252 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2009-07-21 |
| Authorized Official Name | DR. ASIM KHAN (MEMBER) |
| Authorized Official Telephone | 3123150024 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
36668 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
36668 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CORPORATION REGISTRATION | P1369677-9 | 01 |
| Street Address |
2045 S VINEYARD SUITE 131 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-6889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023087301 | John I Iskandar | Neurological Surgery | 2045 S Vineyard, 142, Mesa, AZ 85210-6889 | 2006-03-17 |
| 1740642297 | Willow Midwife Center for Birth and Wellness | Clinic/Center | 2045 S Vineyard, Suite 2e, Mesa, AZ 85210-6889 | 2016-03-23 |
| 1447664180 | Kris Eldridge, Lpc | Community/Behavioral Health | 2045 S Vineyard, Suite 139, Mesa, AZ 85210-6889 | 2014-06-19 |
| 1558782227 | Three Needles Acupuncture, LLC | Acupuncturist | 2045 S Vineyard, Suite 136, Mesa, AZ 85210-6889 | 2013-12-26 |
| 1760721690 | Kari-ann Sellati Hubbard | Acupuncturist | 2045 S Vineyard, Suite 136, Mesa, AZ 85210-6889 | 2013-02-13 |
| 1114279536 | American Home Health Services, Inc | Home Health | 2045 S Vineyard, Suite # 223, Mesa, AZ 85210-6889 | 2012-10-09 |
| 1649402827 | Diane M Ortega | Advanced Practice Midwife | 2045 S Vineyard, Suite 136, Mesa, AZ 85210-6889 | 2009-08-20 |
| 1356594626 | East Valley Neurosurgery, LLC | Neurological Surgery | 2045 S Vineyard, 142, Mesa, AZ 85210-6889 | 2008-10-29 |
| 1538316674 | Nick Randall | Dentist | 2045 S Vineyard, Suite 153, Mesa, AZ 85210-6889 | 2008-08-20 |
| 1669662151 | Asim Khan | Physical Medicine & Rehabilitation | 2045 S Vineyard, Suite 131, Mesa, AZ 85210-6889 | 2007-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| 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 |
|---|---|---|---|---|
| 1417598178 | Desert Pain Consultants | Pain Medicine | 8960 E Nora Cir, Mesa, AZ 85207-1441 | 2019-10-03 |
| 1164902292 | Performance Pain Management Pllc | Pain Medicine | 3850 E Baseline Rd Ste 117, Mesa, AZ 85206 | 2018-08-17 |
| 1053824631 | Integrated Pain Consultants, LLC | Pain Medicine | 4838 E Baseline Rd, Bldg 2 Suite 109, Mesa, AZ 85206-4671 | 2017-11-06 |
| 1225489511 | Wize Healthcare LLC | Pain Medicine | 4540 E Baseline Rd, 105, Mesa, AZ 85206-4613 | 2016-06-28 |
| 1720469653 | Integrated Surgical Associates, Inc. | Pain Medicine | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2015-06-16 |
| 1396060208 | Arizona Pain Management Specialists | Pain Medicine | 515 N Mesa Dr, Mesa, AZ 85201-5914 | 2010-04-02 |
| 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 |
| 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.