ADVANCED SPINE AND PAIN LLC
NPI 1629679923
Physical Medicine & Rehabilitation - Pain Medicine in Mesa, AZ
NPI Status: Active since November 03, 2020
Contact Information
4566 E INVERNESS AVE STE 205
MESA, AZ
ZIP 85206
Phone: (480) 640-0513
- Organization
- Physical Medicine & Rehabilitation
- Pain Medicine
- Accepts Insurance
About ADVANCED SPINE AND PAIN LLC
This page provides the complete NPI Profile along with additional information for Advanced Spine And Pain Llc, a provider established in Mesa, Arizona operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1629679923 assigned on November 2020. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Advanced Spine And Pain Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jarrett Michael Leathem (Md, Owner)
- NPI
- 1629679923
- Provider Name
- ADVANCED SPINE AND PAIN LLC
- Entity Type
- Organization
- Location Address
- 4566 E INVERNESS AVE STE 205 MESA, AZ 85206
- Location Phone
- (480) 640-0513
- Mailing Address
- 4566 E INVERNESS AVE STE 205 MESA, AZ 85206
- Mailing Phone
- (480) 640-0513
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2020
- Last Update Date
- 01-20-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 2 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 3 | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 4 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 5 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for ADVANCED SPINE AND PAIN LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 6 | 7 | 9 | 9 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 12 | 7 | 18 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 1 + 2 + 7 + 1 + 8 + 9 + 4 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1629679923 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144743071 | MRS. MARYBETH BARCOME FNP Individual | Nurse Practitioner (Family) | 4566 E INVERNESS AVE STE 205 MESA, AZ 85206 (480) 573-0130 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629679923, enumerated in the NPI registry as an "organization" on November 03, 2020
The provider is located at 4566 E Inverness Ave Ste 205 Mesa, Az 85206 and the phone number is (480) 640-0513
This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 2081P2900X with a focus in Pain Medicine
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 03, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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