Advanced Spine and Pain LLC
NPI 1629679923ActiveOrganization· Physical Medicine & Rehabilitation, Pain Medicine· Mesa, AZ
Physical Medicine & Rehabilitation, Pain Medicine in Mesa, Arizona, registered in NPPES in November 2020. The authorized official on file is Jarrett Michael Leathem, Md, Owner. Enrolled in Medicare as dme supplier - physician - anesthesiology.
Overview
| NPI | 1629679923 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2020 |
| Last updated in NPPES | Jan 20, 2021 |
| Certified by provider | Jan 20, 2021 |
Specialties and licenses
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 - Anesthesiology (AZ) |
|---|
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