ADVANCED SPINE AND PAIN LLC NPI 1639951577

NPI Information

  • NPI: 1639951577
  • Provider Name: ADVANCED SPINE AND PAIN LLC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 333 W THOMAS RD STE 204
    PHOENIX, AZ
    ZIP 85013
  • Phone: (480) 573-0130

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NPI Details

ADVANCED SPINE AND PAIN LLC is a pain medicine anesthesiology in Phoenix, AZ. The provider is 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. ADVANCED SPINE AND PAIN LLC NPI is 1639951577. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

333 W THOMAS RD STE 204
PHOENIX, AZ
ZIP 85013-425
Phone: (480) 573-0130
Fax: (480) 573-0131

The provider's authorized official is Jarrett Michael Leathem .
The authorized official title is Owner and has the following contact phone number (860) 670-2412.

The enumeration date for this NPI number is 10/16/2023 and was last updated on 10/16/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0000XPain MedicinePain MedicineNo
2208VP0014XPain MedicineInterventional Pain MedicineNo
3207LP2900XAnesthesiologyPain MedicineYes

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: 3/30/2025

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