TRIAD PAIN MANAGEMENT GROUP, PLLC (NPI# 1477802536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477802536 |
| Entity Type | Organization |
| Organization Name | TRIAD PAIN MANAGEMENT GROUP, PLLC |
| Practice Address |
4515 S Mcclintock Dr Ste 120 Tempe AZ 85282-7381 |
| Practice Telephone | 4804130586 |
| Practice Fax Number | 4807300487 |
| Mailing Telephone | 4804130586 |
| Mailing Fax Number | 4807300487 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | JOHN J BACA (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4804130586 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
4515 S MCCLINTOCK DR STE 120 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-7381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437212180 | Lawrence Anthony Sanchez | Chiropractor | 4515 S Mcclintock Dr Ste 120, Tempe, AZ 85282-7381 | 2006-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
| 1427544717 | Arizona Valley Diagnostics LLC | Clinic/Center | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-07-10 |
| 1386088904 | Angel Clinic LLC | Clinic/Center | 4515 S Mcclintock Dr, #120, Tempe, AZ 85282-7376 | 2013-04-25 |
| 1548529647 | Tempe Lakes Medical Group Plc | Clinic/Center | 1855 E Guadalupe Rd, Suite 112, Tempe, AZ 85283-3273 | 2012-05-09 |
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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.