ADVANCED SPINE AND PAIN LLC – NPI #1356950653
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.
ADVANCED SPINE AND PAIN LLC is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1356950653 to ADVANCED SPINE AND PAIN LLC on July 23, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. 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 Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was last updated on Jul 09, 2025. 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 ADVANCED SPINE AND PAIN LLC below.
NPI Profile for
ADVANCED SPINE AND PAIN LLC
(about 6 years ago)
PHOENIX, AZ 85023-4226 Phone: (480) 640-0513 Fax:
4 Other location(s):
Anthem, AZ 85086-0430
Phone: (480) 573-0130
Fax: (480) 573-0131
Phoenix, AZ 85023-4281
Phone: (480) 573-0130
Fax: (480) 573-0131
Prescott Valley, AZ 86314-1242
Phone: (480) 573-0130
Fax: (480) 573-0131
Queen Creek, AZ 85142-6128
Phone: (480) 573-0130
Fax: (480) 573-0131
MD, OWNER
Phone: (480) 640-0513
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.
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) |
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| 363L00000X - Nurse Practitioner |
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| 363A00000X - Physician Assistant |
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| 225100000X - Physical Therapist |
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| 2085R0202X - Radiology / Diagnostic Radiology |
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| 208100000X - Physical Medicine & Rehabilitation |
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| 207X00000X - Orthopaedic Surgery |
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| 207T00000X - Neurological Surgery |
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| 207LP2900X - Anesthesiology / Pain Medicine |
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| 111N00000X - Chiropractor |
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.