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

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NPI Details

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 12/5/2025.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AP3009OTHERARIZONAAZ NP LICENSE
2506568MEDICAIDARIZONA

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: 11/21/2025

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