Provider Demographics
NPI:1275670408
Name:ATEN CORPORATION
Entity Type:Organization
Organization Name:ATEN CORPORATION
Other - Org Name:SCOTTSDALE PAIN MANAGEMENT CENTER AND ADDICTION TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIRBAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-990-1280
Mailing Address - Street 1:3337 N MILLER RD
Mailing Address - Street 2:STE. 102
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6495
Mailing Address - Country:US
Mailing Address - Phone:480-990-1280
Mailing Address - Fax:480-990-1410
Practice Address - Street 1:3337 N MILLER RD
Practice Address - Street 2:STE. 102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6495
Practice Address - Country:US
Practice Address - Phone:480-990-1280
Practice Address - Fax:480-990-1410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27055208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ445438Medicaid
AZ445438Medicaid