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DR. STEPHEN CHARLES SIROTA MD NPI 1720074800


NPI Information

NPI: 1720074800
Provider Name: DR. STEPHEN CHARLES SIROTA, MD
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

Organization: NORTHERN ARIZONA SPINE AND PAIN CENTER PLLC

PECOS Registration: Yes

Address:
3769 CROSSINGS DR
PRESCOTT, AZ
ZIP 86305
Phone: (928) 458-7343
Get Directions

DR. Stephen Charles Sirota, MD is an interventional pain medicine pain medicine in Prescott, AZ with 35 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Stephen Charles Sirota, MD NPI is 1720074800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1989

The provider's business location address is:

3769 CROSSINGS DR
PRESCOTT, AZ
ZIP 86305-270
Phone: (928) 458-7343
Fax: (928) 491-4424

The NPI 1720074800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2005 and was last updated on 2/11/2021.


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
1208100000XPhysical Medicine & Rehabilitation50242ARIZONANo
22081S0010XPhysical Medicine & RehabilitationSports Medicine50242ARIZONANo
3208VP0014XPain MedicineInterventional Pain Medicine50242ARIZONAYes

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
1099987MEDICAIDARIZONA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.