Providence Health Group LLC
NPI 1841487709 · Internal Medicine Physician · Phoenix, AZ
Providence Health Group LLC is a Internal Medicine Physician organization in Phoenix, AZ (NPI 1841487709).
Provider details
- NPI number
- 1841487709
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roger Olade, Owner/Physician(404) 441-8752
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- Genesis Wellness & Pain Management Center
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2011-06-21
Frequently asked questions
- What is Providence Health Group LLC's NPI number?
- Providence Health Group LLC's National Provider Identifier (NPI) is 1841487709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health Group LLC?
- Providence Health Group LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health Group LLC located?
- Providence Health Group LLC's practice location on file with NPPES is 300 W Osborn Rd Ste 110, Phoenix, AZ 85013-3922.
- What is Providence Health Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Health Group LLC is (602) 265-1210.
- Who is the authorized official for Providence Health Group LLC?
- The authorized official listed on Providence Health Group LLC's NPPES record is Roger Olade, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health Group LLC's NPI active?
- Yes — Providence Health Group LLC's NPI (1841487709) is active in the NPPES registry as of the last update on 2011-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.