DESERT PAIN AND REHAB SPECIALISTS - NPI 1457416414 - Physical Medicine & Rehabilitation in Phoenix, AZ

Q: What is Desert Pain And Rehab Specialists's NPI number?

The NPI number for Desert Pain And Rehab Specialists is 1457416414. It was assigned to this organization in the NPPES registry on December 27, 2006.

Q: What is Desert Pain And Rehab Specialists's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

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About Desert Pain And Rehab Specialists NPPES

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

DESERT PAIN AND REHAB SPECIALISTS (NPI 1457416414) is a healthcare organization registered as a pain medicine in Phoenix, Arizona and active in the NPI registry since December 2006. The organization maintains 3 additional practice locations and lists Herbert Donald Goodman, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1457416414

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NameDESERT PAIN AND REHAB SPECIALISTS

Location Address11047 N 19TH AVEPhoenix, AZ 85029

Mailing Address11047 N 19th AvePhoenix, AZ 85029-4816 · (602) 944-2222 · Fax (602) 331-2499

Phone(602) 944-2222

Fax(602) 331-2499

Organization SubpartNo

Authorized OfficialHerbert Donald GoodmanCo-owner · (602) 944-2222

Enumeration DateDecember 27, 2006

Last NPPES UpdateJune 24, 2019

✔ NPI 1457416414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPsychologistTaxonomy 103T00000X · License 3984 (AZ)

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 11336 (AZ)

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

11047 N 19TH AVE, Phoenix, AZ 85029

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Secondary Practice Locations 3

Location 1621 S Fifth StGlobe, AZ 85501-1945 · Phone (928) 425-8273 · Fax (928) 425-3066

Location 2302 El Camino Real Ste ESierra Vista, AZ 85635-2860 · Phone (520) 335-2555 · Fax (520) 393-3467

Location 3137 E Fort Lowell RdTucson, AZ 85705-3920 · Phone (520) 393-8060 · Fax (520) 393-3467

Other Identifiers 1

Medicaid306932AZ

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 8

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

DR. MICHAEL W. LOES M.D.

Internal Medicine (Addiction Medicine)