TRISTAN PICO (NPI# 1508088196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508088196 |
| Entity Type | Individual |
| Full Name | TRISTAN PICO |
| Credential | MD |
| Practice Address |
725 S Dobson Rd Ste 100 Chandler AZ 85224-5680 |
| Mailing Address |
20280 N 59th Ave Ste 115-617 Glendale AZ 85308-6850 |
| Practice Telephone | 6027958700 |
| Practice Fax Number | 6027958701 |
| Mailing Telephone | 6027958700 |
| Mailing Fax Number | 6027958701 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
42864 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 514699 | 05 |
| Street Address |
725 S DOBSON RD STE 100 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-5680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678567 | Barbara Galutia Regis | Physician Assistant | 725 S Dobson Rd, Ste 103, Chandler, AZ 85224-5676 | 2005-06-09 |
| 1538560107 | Kimberly Jared | Physician Assistant | 725 S Dobson Rd, Ste 200, Chandler, AZ 85224-5679 | 2014-09-15 |
| 1972912699 | Arizona Spine and Pain Specialists LLC | Durable Medical Equipment & Medical Supplies | 725 S Dobson Rd, Ste 100, Chandler, AZ 85224-5680 | 2014-08-06 |
| 1124442199 | Daryl Potter | Nurse Practitioner | 725 S Dobson Rd, Ste 100, Chandler, AZ 85224-5680 | 2014-02-12 |
| 1417296310 | Vanessa Michael | Physician Assistant | 725 S Dobson Rd, Ste 200, Chandler, AZ 85224-5680 | 2013-02-12 |
| 1760733455 | Smi Imaging, LLC | Radiology | 725 S Dobson Rd, Suite 105, Chandler, AZ 85224-5680 | 2012-09-21 |
| 1902180656 | Hilary Kristin Reznick | Physician Assistant | 725 S Dobson Rd, St 200, Chandler, AZ 85224-5680 | 2011-09-29 |
| 1144510298 | Neal Varughese | Specialist | 725 S Dobson Rd, Suite 200, Chandler, AZ 85224-5680 | 2011-04-11 |
| 1669700993 | Premier Cardiovascular Center, Plc | Internal Medicine | 725 S Dobson Rd, Suite 100, Chandler, AZ 85224-5680 | 2009-11-24 |
| 1669634200 | Neil F Fernandes | Dermatology | 725 S Dobson Rd, Ste 200, Chandler, AZ 85224-5680 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| 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 |
|---|---|---|---|---|
| 1083179014 | Hope Clinic of Integrative Medicine, LLC | Anesthesiology | 208 W Chandler Heights Rd # 101, Chandler, AZ 85248-5065 | 2019-02-04 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1316191463 | Robert A. Conway | Anesthesiology | 1076 W Chandler Blvd Ste 109, Chandler, AZ 85224-5223 | 2008-11-14 |
| 1679836266 | Ross Barker | Anesthesiology | 4025 W Chandler Blvd Ste 1, Chandler, AZ 85226 | 2012-06-19 |
| 1922323609 | Arizona Pain Specialists, Pllc | Anesthesiology | 655 S Dobson Rd, Suite A205, Chandler, AZ 85224-5667 | 2010-04-06 |
| 1528383965 | Kendrick Wade Thomas | Anesthesiology | 1076 W Chandler Blvd Ste 109, Chandler, AZ 85224-5223 | 2010-03-29 |
| 1760639058 | Advanced Pain Modalities, Plc | Anesthesiology | 3195 W Ray Rd, Suite #1, Chandler, AZ 85226-2417 | 2008-08-19 |
| 1477609899 | Wladislaw G Fedoriw | Anesthesiology | 2320 W Ray Rd Ste 1, Chandler, AZ 85224-3516 | 2007-01-26 |
| 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 |
| 1104449628 | The Pain Institute of Southern Arizona PC | Anesthesiology | 2241 W 16th Street, Safford, AZ 85546 | 2020-05-19 |
| 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 |
| 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 |
| 1275061434 | Four Seasons Medical Concierge LLC | Anesthesiology | 20235 N Cave Creek Rd Ste 104-494, Phoenix, AZ 85024-4424 | 2017-05-31 |
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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.