PLATINUM PAIN MANAGEMENT – NPI #1154868495
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

PLATINUM PAIN MANAGEMENT is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1154868495 to PLATINUM PAIN MANAGEMENT on January 25, 2017. 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 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 6 years ago on Apr 23, 2020. 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 PLATINUM PAIN MANAGEMENT below.

NPI Profile for
PLATINUM PAIN MANAGEMENT

NPI Number
1154868495
Enumeration Date

(more than 9 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
PLATINUM PAIN MANAGEMENT
Primary location
4045 E BELL RD STE 147
PHOENIX, AZ 85032-2239
Phone: (602) 795-0207 Fax:
1 Other location(s):
10810 N Tatum Blvd
Ste 102-302
Phoenix, AZ 85028
Phone: (424) 322-0980
Mailing address
10810 N TATUM BLVD
STE 102-302
PHOENIX, AZ 85028-6055
Phone: (424) 322-0980 Fax:
Organization Subpart
No
Authorized Official
THOMAS MOSHIRI
MEMBER
Phone: (424) 322-0980
Updated
Certification Date
Apr 23, 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
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)		 AZ 34825
2085R0202X
- Radiology / Diagnostic Radiology
2084N0400X
- Psychiatry & Neurology / Neurology		 AZ 34825

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.