OrganizationActive
Atlantis Medical Group Az PLLC
NPI 1740610039 · Pain Medicine (Anesthesiology) Physician · Phoenix, AZ
Provider details
- NPI number
- 1740610039
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sean Reneau, Practice Administrator(602) 802-8636
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Orthopaedic Hand Surgery Physician207XS0106X
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
Practice location
5501 N 19th Ave
Phoenix, AZ 85015-2450
Phone: (602) 589-0500
Fax: (602) 314-4552
Approximate (ZIP-level) locationGet directions
Mailing address
5501 N 19th Ave Ste 103
Phoenix, AZ 85015-2451
Registry dates
- Enumerated
- 2013-11-22
- Last updated
- 2017-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.