Advanced Spine and Pain LLC
NPI 1639951577ActiveOrganization· Anesthesiology, Pain Medicine· Phoenix, AZ
Anesthesiology, Pain Medicine in Phoenix, Arizona, registered in NPPES in October 2023, part of Advanced Spine and Pain LLC. The authorized official on file is Jarrett Michael Leathem, Owner.
Overview
| NPI | 1639951577 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advanced Spine and Pain LLC |
| NPI issued | Oct 16, 2023 |
| Last updated in NPPES | Oct 16, 2023 |
| Certified by provider | Oct 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 207LP2900X | — | — |
| Pain Medicine, Pain Medicine | 208VP0000X | — | — |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Anesthesiology, Pain Medicine providers in Phoenix
- 1699391854
- 1427426915
- 1578027355
- 1740610039
- 1043832223
- 1114536992
- 1275061434
- 1831460138
- 1346442779
- 1861368045
- 1972919918
- 1811352164