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MIRAGE MEDICAL LLC
NPI 1609206549
Physical Medicine & Rehabilitation - Pain Medicine in Phoenix, AZ

Active since November 13, 2013
10046 N METRO PKWY W, SUITE 115, PHOENIX, AZ 85051(602) 674-5515(602) 674-3029 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mirage Medical Llc NPPES

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

MIRAGE MEDICAL LLC (NPI 1609206549) is a healthcare organization registered as a pain medicine in Phoenix, Arizona and active in the NPI registry since November 2013. The organization lists Jeremy R Buckner, Owner, as its authorized official.

NPPES Registry Identity

NPI1609206549
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameMIRAGE MEDICAL LLC
Location Address10046 N METRO PKWY W, SUITE 115Phoenix, AZ 85051-1437
Mailing Address1001 E Warner Rd, Suite 107Tempe, AZ 85284-3224 · (480) 264-3744 · Fax (480) 264-2075
Phone(602) 674-5515
Fax(602) 674-3029
Organization SubpartNo
Authorized OfficialJeremy R BucknerOwner · (602) 421-2730
Enumeration DateNovember 13, 2013
✔ NPI 1609206549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in AZ · 5988
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP4986 (AZ)
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License AP2828 (AZ)
10046 N METRO PKWY W, Phoenix, AZ 85051
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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 15

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

BUCK HEALTHCARE LLC
Physical Medicine & Rehabilitation (Pain Medicine)
10046 N METRO PKWY W, SUITE 115
PHOENIX, AZ 85051
Maricopa County (602) 674-5515
MRS. CHRISTINE DAUDIER LMSW
Counselor (Mental Health)
10046 N METRO PKWY W
PHOENIX, AZ 85051
Maricopa County (844) 646-3247
TONIE JONEE JACKSON
Social Worker
10046 N METRO PKWY W
PHOENIX, AZ 85051
Maricopa County (844) 646-3247
CIENNA HERLIHY
Counselor (Mental Health)
10046 N METRO PKWY W
PHOENIX, AZ 85051
Maricopa County (844) 646-3247
MS. PATRICIA KATE PARADIS FNP-C
Clinical Nurse Specialist (Family Health)
10046 N METRO PKWY W, SUITE 115
PHOENIX, AZ 85051
Maricopa County (602) 674-5515
GIGI HEALTHCARE LLC
Physical Medicine & Rehabilitation (Pain Medicine)
10046 N METRO PKWY W, SUITE 115
PHOENIX, AZ 85051
Maricopa County (602) 674-5515
JESUS IVAN GUERRERO
Student in an Organized Health Care Education/Training Program
10046 N METRO PKWY W
PHOENIX, AZ 85051
Maricopa County (602) 894-2880
KD CHIROPRACTIC LLC
Nurse Practitioner (Family)
10046 N METRO PKWY W, STE 115
PHOENIX, AZ 85051
Maricopa County (602) 674-5515

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 Mirage Medical LLC's NPI number?

The NPI number for Mirage Medical LLC is 1609206549. It was assigned to this organization in the NPPES registry on November 13, 2013.

Where is Mirage Medical LLC located?

Mirage Medical LLC is located at 10046 N Metro Pkwy W Suite 115, Phoenix, AZ 85051. The listed phone number is (602) 674-5515.

What is Mirage Medical LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mirage Medical LLC was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.