CANYON PAIN SURGERY CENTER – NPI #1972217180
Clinic/Center

CANYON PAIN SURGERY CENTER is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1972217180 to CANYON PAIN SURGERY CENTER on January 11, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Aug 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANYON PAIN SURGERY CENTER below.

NPI Profile for
CANYON PAIN SURGERY CENTER

NPI Number
1972217180
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CANYON PAIN SURGERY CENTER
Primary location
4540 E BASELINE RD STE 117
MESA, AZ 85206-4617
Phone: (480) 561-0446 Fax: (480) 608-4762
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JODY SMITH
ADMINISTRATOR
Phone: (480) 565-5925
Updated
Certification Date
Aug 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.