OrganizationActive
Arizona Surgical Pain Consultants PLLC
NPI 1053747220 · Pain Medicine Physician · Anthem, AZ
Provider details
- NPI number
- 1053747220
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melanie Gross, Vp of Revenue Cycle(214) 615-5168
- License
- 23067 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3655 W Anthem Way
Suite A-109
Anthem, AZ 85086-0430
Phone: (214) 615-5168
Street-level locationGet directions
Mailing address
Po Box 3837
Carol Stream, IL 60132-3837
Registry dates
- Enumerated
- 2013-09-19
- Last updated
- 2013-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.