Provider Demographics
NPI:1558135756
Name:NEXT LEVEL FACILITY LLC
Entity Type:Organization
Organization Name:NEXT LEVEL FACILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:SIEFFERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-447-8773
Mailing Address - Street 1:12882 W PASARO DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-8078
Mailing Address - Country:US
Mailing Address - Phone:480-447-8773
Mailing Address - Fax:
Practice Address - Street 1:7141 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-5518
Practice Address - Country:US
Practice Address - Phone:623-849-3003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty