VISTA HEALTHCARE LLC – NPI #1417582875
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.

Health Care Provider Taxonomy Code for Physical Medicine & Rehabilitation

VISTA HEALTHCARE LLC is a provider located in TEMPE, AZ. NPPES has assigned the NPI number 1417582875 to VISTA HEALTHCARE LLC on March 05, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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

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 VISTA HEALTHCARE LLC below.

NPI Profile for
VISTA HEALTHCARE LLC

NPI Number
1417582875
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
VISTA HEALTHCARE LLC
Primary location
1001 E WARNER RD STE 107
TEMPE, AZ 85284-3224
Phone: (480) 897-3300 Fax:
Mailing address
PO BOX 11180
TEMPE, AZ 85284-0020
Phone: Fax:
Organization Subpart
No
Authorized Official
JEREMY BUCKNER
OWNER
Phone: (602) 421-2730
Updated
Certification Date
Mar 05, 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.

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)
261Q00000X
- Clinic/Center

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.