Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Spine and Pain LLC

Organization Anesthesiology Physician · NPI 1366048860

Advanced Spine and Pain LLC is an Anesthesiology Physician in Goodyear, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13555 W McDowell Rd Ste 207
Goodyear, AZ 85395-2628
Phone: (480) 573-0130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Anesthesiology Physician Taxonomy 207L00000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Pain Medicine Physician Taxonomy 208VP0000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1366048860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jarrett Leathem — Owner · (480) 573-0130
NPI enumeratedDecember 9, 2020
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address13555 W McDowell Rd Ste 207, Goodyear, AZ 85395-2628

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