Arizona Spine and Pain Specialists LLC
NPI 1336552140ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Glendale, AZ
Pain Medicine, Interventional Pain Medicine in Glendale, Arizona, registered in NPPES in June 2014. The authorized official on file is Patrick W. Hogan, DO, Member. Enrolled in Medicare as dme supplier - physician - interventional pain management and part b supplier - clinic/group practice.
Overview
| NPI | 1336552140 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2014 |
| Last updated in NPPES | Sep 26, 2023 |
| Certified by provider | Sep 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
| Anesthesiology, Pain Medicine | 207LP2900X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Interventional Pain Management (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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