Advanced Spine and Pain LLC
NPI 1487394888ActiveOrganization· Internal Medicine· Gilbert, AZ
Internal Medicine in Gilbert, Arizona, registered in NPPES in April 2022. The authorized official on file is Jarrett Michael Leathem, Do Owner. Enrolled in Medicare as dme supplier - physician - anesthesiology.
Overview
| NPI | 1487394888 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2022 |
| Last updated in NPPES | Apr 1, 2022 |
| Certified by provider | Apr 1, 2022 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Anesthesiology (AZ) |
|---|
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