OrganizationActive
Comprehensive Interventional Care Centers, PLLC
NPI 1629535091 · Podiatrist · Phoenix, AZ
Provider details
- NPI number
- 1629535091
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Comprehensive Interventional Care Centers, PLLC
- Organization subpart
- Yes
- Authorized official
- Joel Rainwater, President(480) 374-7354
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Allopathic & Osteopathic Physicians
- Primary Podiatric Medicine Podiatrist213EP1101X
Podiatric Medicine & Surgery Service Providers
- Foot Surgery Podiatrist213ES0131X
Podiatric Medicine & Surgery Service Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
10214 N Tatum Blvd Ste B300
Phoenix, AZ 85028-4233
Phone: (480) 374-7354
Fax: (480) 371-1121
Approximate (ZIP-level) locationGet directions
Mailing address
4001 E Baseline Rd Ste 107
Gilbert, AZ 85234-2744
Other names (DBA / former)
- Doing business as
- Comprehensive Interventional Care Centers, PLLC - Paradise Valley
- Doing business as
- Comprehensive Interventional Care Centers, PLLC - Paradise Valley
Registry dates
- Enumerated
- 2019-02-21
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.