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ADVANCED SPINE AND PAIN LLC
NPI 1629679923
Physical Medicine & Rehabilitation - Pain Medicine in Mesa, AZ

Active since November 03, 2020
4566 E INVERNESS AVE STE 205, MESA, AZ 85206(480) 640-0513 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2021, Dec 9, 2020, Nov 3, 2020 (3 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 1629679923) is a healthcare organization registered as a pain medicine in Mesa, Arizona and active in the NPI registry since November 2020. The organization lists Jarrett Michael Leathem, Md, Owner, as its authorized official.

NPPES Registry Identity

NPI1629679923
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameADVANCED SPINE AND PAIN LLC
Location Address4566 E INVERNESS AVE STE 205Mesa, AZ 85206-4634
Mailing Address4566 E Inverness Ave Ste 205Mesa, AZ 85206-4634 · (480) 640-0513
Phone(480) 640-0513
Organization SubpartNo
Authorized OfficialJarrett Michael LeathemMd, Owner · (860) 670-2412
Enumeration DateNovember 3, 2020
Last NPPES UpdateJanuary 20, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
✔ NPI 1629679923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4566 E INVERNESS AVE STE 205, 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

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

MRS. MARYBETH BARCOME FNP
Nurse Practitioner (Family)
4566 E INVERNESS AVE STE 205
MESA, AZ 85206
Maricopa County (480) 573-0130

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 1629679923. It was assigned to this organization in the NPPES registry on November 3, 2020.

Where is Advanced Spine And Pain LLC located?

Advanced Spine And Pain LLC is located at 4566 E Inverness Ave Ste 205, Mesa, AZ 85206. The listed phone number is (480) 640-0513.

What is Advanced Spine And Pain 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 Advanced Spine And Pain LLC was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.