NOVASPINE PAIN INSTITUTE PLC NPI 1124579628

NPI Information

  • NPI: 1124579628
  • Provider Name: NOVASPINE PAIN INSTITUTE, PLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 13203 N 103RD AVE
    SUITE H5
    SUN CITY, AZ
    ZIP 85351
  • Phone: (623) 777-4747

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NPI Details

NOVASPINE PAIN INSTITUTE, PLC is a durable medical equipment medical supplies in Sun City, AZ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NOVASPINE PAIN INSTITUTE, PLC NPI is 1124579628. The provider is registered as an organization entity type.

The provider's business location address is:

13203 N 103RD AVE
SUITE H5
SUN CITY, AZ
ZIP 85351-028
Phone: (623) 777-4747
Fax: (623) 777-4748

The provider's authorized official is Clifford T Baker .
The authorized official title is Owner/physician and has the following contact phone number (602) 538-1180.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 4/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies42290ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
142990OTHERARIZONAAZ LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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