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ADVANCED SPINE AND PAIN LLC
NPI 1366048860
Pain Medicine - Interventional Pain Medicine in Goodyear, AZ

Active since December 09, 2020
13555 W MCDOWELL RD STE 207, GOODYEAR, AZ 85395(480) 573-0130 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2021, Dec 9, 2020 (2 updates tracked since 2020).

About Advanced Spine And Pain Llc NPPES

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

ADVANCED SPINE AND PAIN LLC (NPI 1366048860) is a healthcare organization registered as an interventional pain medicine in Goodyear, Arizona and active in the NPI registry since December 2020. The organization lists Jarrett Michael Leathem, Owner, as its authorized official.

NPPES Registry Identity

NPI1366048860
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameADVANCED SPINE AND PAIN LLC
Location Address13555 W MCDOWELL RD STE 207Goodyear, AZ 85395-2628
Mailing Address13555 W Mcdowell Rd Ste 207Goodyear, AZ 85395-2628
Phone(480) 573-0130
Organization SubpartNo
Authorized OfficialJarrett Michael LeathemOwner · (480) 573-0130
Enumeration DateDecember 9, 2020
Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
✔ NPI 1366048860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
13555 W MCDOWELL RD STE 207, Goodyear, AZ 85395
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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

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 Advanced Spine And Pain LLC's NPI number?

The NPI number for Advanced Spine And Pain LLC is 1366048860. It was assigned to this organization in the NPPES registry on December 9, 2020.

Where is Advanced Spine And Pain LLC located?

Advanced Spine And Pain LLC is located at 13555 W Mcdowell Rd Ste 207, Goodyear, AZ 85395. The listed phone number is (480) 573-0130.

What is Advanced Spine And Pain LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Advanced Spine And Pain LLC was last updated on January 20, 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.