REVITALIZE PAIN AND SPINE LLC - NPI 1346848090

Q: What is Revitalize Pain And Spine LLC's NPI number?

The NPI number for Revitalize Pain And Spine LLC is 1346848090. It was assigned to this organization in the NPPES registry on October 14, 2020.

Q: What is Revitalize Pain And Spine LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

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About Revitalize Pain And Spine Llc NPPES

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

REVITALIZE PAIN AND SPINE LLC (NPI 1346848090) is a healthcare organization registered as a pain medicine in Mesa, Arizona and active in the NPI registry since October 2020. The organization lists Amy Williams, Director, as its authorized official.

NPPES Registry Identity

NPI1346848090

Entity TypeOrganization

Primary Taxonomy208VP0000X

Legal Business NameREVITALIZE PAIN AND SPINE LLC

Location Address4838 E BASELINE RD STE 110Mesa, AZ 85206-4674

Mailing Address4838 E Baseline Rd Ste 110Mesa, AZ 85206-4674 · (480) 210-2641 · Fax (480) 210-2642

Phone(480) 210-2641

Fax(480) 210-2642

Organization SubpartNo

Authorized OfficialAmy WilliamsDirector · (480) 969-4040

Enumeration DateOctober 14, 2020

NPPES CertifiedOctober 14, 2020

✔ NPI 1346848090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0000X

Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Also ListedSpecialistTaxonomy 174400000X

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

Also ListedNurse PractitionerTaxonomy 363L00000X

4838 E BASELINE RD STE 110, Mesa, AZ 85206

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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

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KETAMINE AMERICA LLC

Pain Medicine (Pain Medicine)