EAST VALLEY SPINE AND SPORTS MEDICINE CENTER, PLC
NPI 1659402998
Physical Medicine & Rehabilitation - Pain Medicine in Mesa, AZ

Active since March 08, 2007
4858 E BASELINE RD, SUITE 107, MESA, AZ 85206(480) 807-6500(866) 835-7591 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About East Valley Spine And Sports Medicine Center, Plc NPPES

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

EAST VALLEY SPINE AND SPORTS MEDICINE CENTER, PLC (NPI 1659402998), doing business as Tutankhamen Pappoe Md Plc, is a healthcare organization registered as a pain medicine in Mesa, Arizona and active in the NPI registry since March 2007. The organization lists Tutankhamen Allotey Pappoe, Owner And Physician, as its authorized official.

NPPES Registry Identity

NPI1659402998
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameEAST VALLEY SPINE AND SPORTS MEDICINE CENTER, PLC
Location Address4858 E BASELINE RD, SUITE 107Mesa, AZ 85206-4638
Mailing Address4858 E Baseline Rd Ste 107Mesa, AZ 85206-4638 · (480) 807-6500 · Fax (866) 835-7591
Fax(866) 835-7591
Organization SubpartNo
Authorized OfficialTutankhamen Allotey PappoeOwner And Physician · (480) 807-6500
Enumeration DateMarch 8, 2007
Last NPPES UpdateJune 16, 2015
NPI 1659402998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in AZ · 33084
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 ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License 33084 (AZ)
4858 E BASELINE RD, Mesa, AZ 85206

Other Names 1

Former Legal Business NameTutankhamen Pappoe Md Plc

Other Identifiers 3

Medicaid873671AZ
Medicare UPINI17731AZ
Medicare PINZ114653AZ

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 3

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

Internal Medicine (Gastroenterology)
4858 E BASELINE RD, SUITE #F107
MESA, AZ 85206
Internal Medicine (Gastroenterology)
4858 E BASELINE RD, SUITE #F107
MESA, AZ 85206
Transportation Broker
4858 E BASELINE RD, SUITE 101
MESA, AZ 85206

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 East Valley Spine And Sports Medicine Center, Plc's NPI number?

The NPI number for East Valley Spine And Sports Medicine Center, Plc is 1659402998. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider was formerly known as Tutankhamen Pappoe MD Plc.

Where is East Valley Spine And Sports Medicine Center, Plc located?

East Valley Spine And Sports Medicine Center, Plc is located at 4858 E Baseline Rd Suite 107, Mesa, AZ 85206. The listed phone number is (480) 807-6500.

What is East Valley Spine And Sports Medicine Center, Plc'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 East Valley Spine And Sports Medicine Center, Plc was last updated on June 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.