DESERT PAIN AND REHAB SPECIALISTS – NPI #1457416414
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

DESERT PAIN AND REHAB SPECIALISTS is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1457416414 to DESERT PAIN AND REHAB SPECIALISTS on December 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. 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

The NPI profile was previously updated about 7 years ago on Jun 24, 2019. 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 DESERT PAIN AND REHAB SPECIALISTS below.

NPI Profile for
DESERT PAIN AND REHAB SPECIALISTS

NPI Number
1457416414
Enumeration Date

(more than 19 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
DESERT PAIN AND REHAB SPECIALISTS
Primary location
11047 N 19TH AVE
PHOENIX, AZ 85029
Phone: (602) 944-2222 Fax: (602) 331-2499
3 Other location(s):
621 S Fifth St
Globe, AZ 85501-1945
Phone: (928) 425-8273
Fax: (928) 425-3066
302 El Camino Real Ste E
Sierra Vista, AZ 85635-2860
Phone: (520) 335-2555
Fax: (520) 393-3467
137 E Fort Lowell Rd
Tucson, AZ 85705-3920
Phone: (520) 393-8060
Fax: (520) 393-3467
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HERBERT GOODMAN
CO-OWNER
Phone: (602) 944-2222
Updated
Identifiers

Identifiers for DESERT PAIN AND REHAB SPECIALISTS

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
MEDICAIDAZ306932
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)
208VP0014X
- Pain Medicine / Interventional Pain Medicine
207RA0401X
- Internal Medicine / Addiction Medicine		 AZ 11336
103T00000X
- Psychologist		 AZ 3984

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.