Provider Type Icon

ANTHEM PAIN MANAGEMENT LLC NPI 1972910990


NPI Information

NPI: 1972910990
Provider Name: ANTHEM PAIN MANAGEMENT, LLC
Classification: Health Maintenance Organization - 302R00000X
Entity Type: Organization

CLIA Number: 03D2081862

Address:
41818 N VENTURE DR STE 150
ANTHEM, AZ
ZIP 85086
Phone: (623) 341-8469
Get Directions

ANTHEM PAIN MANAGEMENT, LLC is a health maintenance organization in Anthem, AZ. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. ANTHEM PAIN MANAGEMENT, LLC NPI is 1972910990. The provider is registered as an organization entity type.

The provider's business location address is:

41818 N VENTURE DR STE 150
ANTHEM, AZ
ZIP 85086-190
Phone: (623) 341-8469
Fax: (623) 551-6900

The provider's authorized official is Keith R Sutton .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (623) 341-8469.

The CLIA number assigned to this NPI record is 03D2081862 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2014 and was last updated on 4/1/2016.


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
1302R00000XHealth Maintenance OrganizationAP3009ARIZONAYes

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
1Z157538MEDICARE UPIN
2506568MEDICAIDARIZONA
3AP3009OTHERARIZONAAZ NP LICENSE

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

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.