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PAIN INSTITUTE OF SOUTHERN ARIZONA
NPI 1104449628
Anesthesiology - Pain Medicine in Safford, AZ

Active since May 19, 2020CLIA Certified · 3 labs
2241 W 16TH STREET, SAFFORD, AZ 85546(520) 829-6900(520) 829-6661 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2021, Aug 5, 2020, May 21, 2020 (3 updates tracked since 2020).

About Pain Institute Of Southern Arizona NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN INSTITUTE OF SOUTHERN ARIZONA (NPI 1104449628) is a healthcare organization registered as a pain medicine in Safford, Arizona and active in the NPI registry since May 2020. The organization holds 3 active CLIA laboratory certificates and lists John H Cole, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104449628
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameTHE PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC
Location Address2241 W 16TH STREETSafford, AZ 85546
Mailing Address4881 E Grant Road, Suite 101Tucson, AZ 85712-2704 · (520) 318-6035 · Fax (520) 829-6661
Phone(520) 829-6900
Fax(520) 829-6661
Organization SubpartYesParent: Pain Institute Of Southern Arizona Pisa Pc
Authorized OfficialJohn H ColeCeo · (520) 829-6776
Enumeration DateMay 19, 2020
Last NPPES UpdateJanuary 28, 20213 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1104449628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
2241 W 16TH STREET, Safford, AZ 85546
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Other Names 1

Doing Business AsPain Institute Of Southern Arizona

Other Identifiers 2

Medicaid526906AZ
Medicaid954926AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 03D2147621

Pain Institute Of Southern Arizona (pisa), PC · Tucson, AZ
Active · expires Feb 28, 2028
CLIA Number03D2147621
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorKevin A. Johnson
Laboratory Phone(520) 990-7004
Laboratory LocationPain Institute Of Southern Arizona (pisa), PC4881 E Grant Rd, Ste 201, Tucson, AZ 85712
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 03D2170646

Pain Institute Of Southern Arizona - Benson · Benson, AZ
Active · expires Aug 14, 2027
CLIA Number03D2170646
Laboratory TypePractitioner Other
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorNicholas Elkins
Laboratory Phone(520) 318-6035
Laboratory LocationPain Institute Of Southern Arizona - Benson335 Ocotillo Ave, Benson, AZ 85602
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1097134

Pain Institute Of Southern Arizona,the · Tucson, AZ
Active · expires Mar 18, 2027
CLIA Number03D1097134
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorJohn H. Cole
Laboratory Phone(520) 318-6035
Laboratory LocationPain Institute Of Southern Arizona,the4582 N First Ave, Suite 170, Tucson, AZ 85718
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Pain Institute Of Southern Arizona Pisa PC's NPI number?

The NPI number for The Pain Institute Of Southern Arizona Pisa PC is 1104449628. It was assigned to this organization in the NPPES registry on May 19, 2020. The provider is doing business as Pain Institute Of Southern Arizona.

Where is The Pain Institute Of Southern Arizona Pisa PC located?

The Pain Institute Of Southern Arizona Pisa PC is located at 2241 W 16th Street, Safford, AZ 85546. The listed phone number is (520) 829-6900.

What is The Pain Institute Of Southern Arizona Pisa PC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does The Pain Institute Of Southern Arizona Pisa PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for The Pain Institute Of Southern Arizona Pisa PC was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.