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

Advanced Spine and Pain LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1629679923

Advanced Spine and Pain LLC is a Pain Medicine (Anesthesiology) Physician in Mesa, 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

4566 E Inverness Ave Ste 205
Mesa, AZ 85206-4634
Phone: (480) 640-0513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Pain Medicine Physician Taxonomy 208VP0000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1629679923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jarrett Leathem — Md, Owner · (860) 670-2412
NPI enumeratedNovember 3, 2020
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address4566 E Inverness Ave Ste 205, Mesa, AZ 85206-4634

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