BERTHA, LLC (NPI# 1760960405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760960405 |
| Entity Type | Organization |
| Organization Name | BERTHA, LLC |
| Other Organization Name | FOUR PEAKS PAIN CENTER |
| Practice Address |
3850 E Baseline Rd Ste 117 Mesa AZ 85206-4404 |
| Practice Telephone | 4807126663 |
| Mailing Telephone | 4807126663 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | CORINNE KOVAC (MANAGER) |
| Authorized Official Telephone | 4807126663 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Four Peaks Pain Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | BERTHA, LLC | 1078 West Glenn Avenue, Auburn, AL 36830 |
| Street Address |
3850 E BASELINE RD STE 117 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204267 | East Valley Pain Relief, LLC | Clinic/Center | 3850 E Baseline Rd Ste 117, Mesa, AZ 85206-4404 | 2020-01-10 |
| 1316587991 | Baseline Pain Center, LLC | Clinic/Center | 3850 E Baseline Rd Ste 117, Mesa, AZ 85206-4404 | 2020-01-10 |
| 1366902249 | Mesa Pain Center LLC | Clinic/Center | 3850 E Baseline Rd Ste 117, Mesa, AZ 85206-4404 | 2019-03-25 |
| 1164902292 | Performance Pain Management Pllc | Pain Medicine | 3850 E Baseline Rd Ste 117, Mesa, AZ 85206 | 2018-08-17 |
| 1588142228 | Four Peaks Anesthesia, LLC | Anesthesiology | 3850 E Baseline Rd Ste 117, Mesa, AZ 85206-4404 | 2018-08-03 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735384 | Rembrandt Treatment Center LLC | Clinic/Center | 6859 E Rembrandt Ave Ste 101, Mesa, AZ 85212-3629 | 2020-09-22 |
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1164930731 | Rembrandt Outpatient Surgery Center Pllc | Clinic/Center | 6859 E Rembrandt Ave Ste 114, Mesa, AZ 85212-3629 | 2018-01-17 |
| 1770093270 | Az Facility Services | Clinic/Center | 1839 S Alma School Rd Ste 354, Mesa, AZ 85210-3028 | 2017-10-10 |
| 1417479635 | Tcsc Ev LLC | Clinic/Center | 1114 S Higley Rd Ste 101, Mesa, AZ 85206-3000 | 2017-07-10 |
| 1972024917 | Trusted Care East Valley Az, LLC | Clinic/Center | 1114 S Higley Road Ste 101, Mesa, AZ 85206 | 2017-06-29 |
| 1477000602 | Discover Surgical Center LLC | Clinic/Center | 135 S Power Rd Ste 110, Mesa, AZ 85206-5245 | 2016-09-06 |
| 1275914186 | Verve Surgical Institute, Inc. | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2015-06-16 |
| 1982031936 | Modern Ambulatory Surgery Center, PC | Clinic/Center | 4860 E Baseline Road, Suite 101, Mesa, AZ 85206-4670 | 2013-10-07 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on BERTHA, LLC.
| 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.