PAIN INSTITUTE OF SOUTHERN ARIZONA – NPI #1104449628
Anesthesiology

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.

PAIN INSTITUTE OF SOUTHERN ARIZONA is an anesthesiologist located in SAFFORD, AZ. NPPES has assigned the NPI number 1104449628 to PAIN INSTITUTE OF SOUTHERN ARIZONA on May 19, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PAIN INSTITUTE OF SOUTHERN ARIZONA” is a dba name, the actual legal business name for this organization is THE PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC. The primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 5 years ago on Jan 28, 2021. 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 PAIN INSTITUTE OF SOUTHERN ARIZONA below.

NPI Profile for
THE PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC

NPI Number
1104449628
Enumeration Date

(more than 6 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
THE PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC
Doing Business As (dba): PAIN INSTITUTE OF SOUTHERN ARIZONA
Primary location
2241 W 16TH STREET
SAFFORD, AZ 85546
Phone: (520) 829-6900 Fax: (520) 829-6661
Mailing address
4881 E GRANT ROAD
SUITE 101
TUCSON, AZ 85712-2704
Phone: (520) 318-6035 Fax: (520) 829-6661
Organization Subpart
Yes - PAIN INSTITUTE OF SOUTHERN ARIZONA is subpart of another organization.
Authorized Official
JOHN COLE
CEO
Phone: (520) 829-6776
Updated
Certification Date
Aug 26, 2020

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.

Identifiers

Identifiers for PAIN INSTITUTE OF SOUTHERN ARIZONA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ526906
MEDICAIDAZ954926
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
207LP2900X
- Anesthesiology / Pain Medicine (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.