REGENERATIVE SPINE & JOINT, PLLC (NPI# 1457755845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457755845 |
| Entity Type | Organization |
| Organization Name | REGENERATIVE SPINE & JOINT, PLLC |
| Practice Address |
2338 W Sleepy Ranch Rd Phoenix AZ 85085-7038 |
| Practice Telephone | 9286006762 |
| Mailing Telephone | 9286006762 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | GABRIEL BONILLA (OWNER) |
| Authorized Official Telephone | 9286006762 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2338 W SLEEPY RANCH RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85085-7038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
| 1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
| 1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
| 1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
| 1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
| 1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
| 1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
| 1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
| 1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
| Find all providers in zip 85085 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967750 | Pain & Wellness of Arizona, LLC | Physical Medicine & Rehabilitation | 3120 E Union Hills Dr Ste 201, Phoenix, AZ 85050-3454 | 2019-11-19 |
| 1831730050 | Restorative Care of Arizona, P.C. | Physical Medicine & Rehabilitation | 2150 E Highland Ave Ste 107, Phoenix, AZ 85016-4720 | 2019-09-30 |
| 1306959218 | Center for Physical Medicine & Rehabilitation P C | Physical Medicine & Rehabilitation | 1331 N 7th St Ste 360, Phoenix, AZ 85006-2772 | 2006-08-16 |
| 1942238357 | Joshua Adam Levy | Physical Medicine & Rehabilitation | 3417 N 32nd St, Phoenix, AZ 85018-5606 | 2006-06-28 |
| 1114536992 | Elviam LLC | Physical Medicine & Rehabilitation | 22601 N 19th Ave Ste 100, Phoenix, AZ 85027-1324 | 2020-07-28 |
| 1831711019 | Premier Pain Specialists LLC | Physical Medicine & Rehabilitation | 4045 E Bell Rd Ste 147, Phoenix, AZ 85032-2239 | 2020-05-11 |
| 1700408960 | Pain Specialists of Arizona LLC | Physical Medicine & Rehabilitation | 4727 E Bell Rd, Phoenix, AZ 85032-2308 | 2020-05-11 |
| 1134753908 | Robert Glenn | Physical Medicine & Rehabilitation | 2836 E Indian School Rd Ste A8, Phoenix, AZ 85016-6864 | 2020-03-02 |
| 1699135483 | Modern Healthcare, Inc | Physical Medicine & Rehabilitation | 3201 W Peoria Ave Ste A105, Phoenix, AZ 85029-4609 | 2016-03-07 |
| 1679932206 | Karen Allyse Rosen-wasserman | Physical Medicine & Rehabilitation | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2016-02-10 |
| Find all providers in PHOENIX | ||||
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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.