ADVANCED SPINE AND PAIN LLC
NPI 1366048860
Pain Medicine - Interventional Pain Medicine in Goodyear, AZ
NPI Status: Active since December 09, 2020
Contact Information
13555 W MCDOWELL RD STE 207
GOODYEAR, AZ
ZIP 85395
Phone: (480) 573-0130
- Organization
- Pain Medicine
- Interventional Pain Medicine
- CLIA Number: 03D2013854
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 09-23-2026
About ADVANCED SPINE AND PAIN LLC
This page provides the complete NPI Profile along with additional information for Advanced Spine And Pain Llc, a provider established in Goodyear, Arizona operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1366048860 assigned on December 2020. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Advanced Spine And Pain Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jarrett Michael Leathem (Owner)
- NPI
- 1366048860
- Provider Name
- ADVANCED SPINE AND PAIN LLC
- Entity Type
- Organization
- Location Address
- 13555 W MCDOWELL RD STE 207 GOODYEAR, AZ 85395
- Location Phone
- (480) 573-0130
- Mailing Address
- 13555 W MCDOWELL RD STE 207 GOODYEAR, AZ 85395
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-09-2020
- Last Update Date
- 01-20-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 2 | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 3 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 4 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 5 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2013854
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 24, 2024
- Certificate Expiration Date
- September 23, 2026
- Laboratory Director
- JARRETT M. LEATHEM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Advanced Spine And Pain Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366048860, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366048860, enumerated as an "organization" on December 09, 2020.
The provider is located at 13555 W MCDOWELL RD STE 207 GOODYEAR, AZ 85395 and the phone number is (480) 573-0130.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
