INJURY MEDICAL GROUP LLC


Address: 5900 N Granite Reef Rd Ste 105, Scottsdale, AZ 85250-6281
Phone: 4806910011

INJURY MEDICAL GROUP LLC (NPI# 1790395739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790395739
Entity Type Organization
Organization Name INJURY MEDICAL GROUP LLC
Other Organization Name ARIZONA PAIN & INJURY
Practice Address 5900 N Granite Reef Rd Ste 105
Scottsdale
AZ 85250-6281
Practice Telephone 4806910011
Enumeration Date 2020-08-04
Last Update Date 2020-08-25
Authorized Official Name MATTHEW RHODES (MEMBER)
Authorized Official Telephone 4806910011
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2081P0301X Physical Medicine & Rehabilitation
Specialization: Brain Injury Medicine
Allopathic & Osteopathic Physicians
N 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
N 261QP3300X Clinic/Center
Specialization: Pain
Ambulatory Health Care Facilities
N 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
ARIZONA PAIN & INJURY Doing Business As Name - Organization

Office Location

Street Address 5900 N GRANITE REEF RD STE 105
City SCOTTSDALE
State AZ
Zip Code 85250-6281

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City SCOTTSDALE
Zip Code 85250

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Dataset Information

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.

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