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JOSEPH R GOTTESMAN LLC NPI 1588610646


NPI Information

NPI: 1588610646
Provider Name: JOSEPH R GOTTESMAN, LLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
2023 W GUADALUPE RD
STE 11-181
MESA, AZ
ZIP 85202
Phone: (602) 384-4170
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JOSEPH R GOTTESMAN, LLC is a pain medicine physical medicine rehabilitation in Mesa, AZ. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. JOSEPH R GOTTESMAN, LLC NPI is 1588610646. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2023 W GUADALUPE RD
STE 11-181
MESA, AZ
ZIP 85202-371
Phone: (602) 384-4170
Fax: (602) 808-9778

The provider's authorized official is Philip Hamilton .
The authorized official title is Manager and has the following contact phone number (602) 330-6886.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 2/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1230334MEDICAIDARIZONA
2Z107444MEDICARE PINARIZONA
3C99569MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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