THE SPINE, ORTHOPEDIC AND PAIN CENTER – NPI #1104060714
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

THE SPINE, ORTHOPEDIC AND PAIN CENTER is a provider located in WEST VALLEY CITY, UT. NPPES has assigned the NPI number 1104060714 to THE SPINE, ORTHOPEDIC AND PAIN CENTER on April 27, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE SPINE, ORTHOPEDIC AND PAIN CENTER” is a dba name, the actual legal business name for this organization is COMPREHENSIVE MEDICAL MANAGEMENT, PC. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 17 years ago on Jul 06, 2009. 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 THE SPINE, ORTHOPEDIC AND PAIN CENTER below.

NPI Profile for
COMPREHENSIVE MEDICAL MANAGEMENT, PC

NPI Number
1104060714
Enumeration Date

(more than 17 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
COMPREHENSIVE MEDICAL MANAGEMENT, PC
Doing Business As (dba): THE SPINE, ORTHOPEDIC AND PAIN CENTER
Primary location
4052 W PIONEER PARKWAY
SUITE 208
WEST VALLEY CITY, UT 84120
Phone: (801) 955-1232 Fax: (801) 955-1543
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIMOTHY GRANGE
OWNER
Phone: (801) 955-1232
Updated
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
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
UT 89180152-1205

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.