PEAK WELLNESS INSTITUTE (NPI# 1992205512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992205512 |
| Entity Type | Organization |
| Organization Name | PEAK WELLNESS INSTITUTE |
| Practice Address |
20950 N Tatum Blvd Ste 100 Phoenix AZ 85050-4204 |
| Practice Telephone | 4802227246 |
| Mailing Telephone | 4802227246 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Authorized Official Name | DEANNA M CONNER (OFFICE) |
| Authorized Official Telephone | 6232388424 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARIZONA WELLNESS SOLUTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | L15479R | LA | Other Service Providers |
| N | 208100000X | Physical Medicine & Rehabilitation | AZ | Allopathic & Osteopathic Physicians | |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
D01889748 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
50572 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
20950 N TATUM BLVD STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750373718 | Peter Kubitz | Physical Medicine & Rehabilitation | 20950 N Tatum Blvd Ste 100, Phoenix, AZ 85050-4204 | 2005-08-16 |
| 1225323785 | Tony Bui | Anesthesiology | 20950 N Tatum Blvd Ste 100, Phoenix, AZ 85050-4204 | 2011-06-13 |
| 1497079438 | Heather Leigh Chung | Anesthesiology | 20950 N Tatum Blvd Ste 100, Phoenix, AZ 85050-4204 | 2010-03-19 |
| 1922335736 | Brittany Jones | Physician Assistant | 20950 N Tatum Blvd Ste 100, Phoenix, AZ 85050-4204 | 2009-11-16 |
| 1437234465 | Pain Consultants of Arizona, PC | Anesthesiology | 20950 N Tatum Blvd Ste 100, Phoenix, AZ 85050-4204 | 2006-10-26 |
| 1932153236 | Jerome Julian Grove | Specialist | 20950 N Tatum Blvd Ste 100, Phoenix, AZ 85050-4204 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| 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 |
|---|---|---|---|---|
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1275061434 | Four Seasons Medical Concierge LLC | Anesthesiology | 20235 N Cave Creek Rd Ste 104-494, Phoenix, AZ 85024-4424 | 2017-05-31 |
| 1740636687 | Dynamic Pain Management Pllc | Anesthesiology | 4045 E Bell Rd Ste 149, Phoenix, AZ 85032-2239 | 2016-05-10 |
| 1972919918 | Gold Rush Mtc Pllc | Anesthesiology | 5133 N Central Ave Ste 110, Phoenix, AZ 85012-1438 | 2014-07-10 |
| 1477976546 | Takayama 90 Med Pllc | Anesthesiology | 14848 N 15th Dr, Phoenix, AZ 85023-5181 | 2014-01-27 |
| 1649407180 | Pain Mds Inc | Anesthesiology | 2525 W Carefree Hwy Ste 134, Phoenix, AZ 85085 | 2009-06-11 |
| 1235309360 | Izzy Pain Mangement P C | Anesthesiology | 640 W Maryland Ave, Suite 3, Phoenix, AZ 85013-1398 | 2008-03-04 |
| 1427230788 | Sun Pain Management, Pllc | Anesthesiology | 5501 N. 19th Avenue, Suite 103, Phoenix, AZ 85015 | 2007-11-28 |
| 1871650739 | The Pain Center of Arizona, PC | Anesthesiology | 20333 N 19th Ave Ste 100, Phoenix, AZ 85027-3602 | 2007-01-02 |
| 1326116278 | David K Towns | Anesthesiology | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2006-11-30 |
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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.