SKYLINE PAIN CLINIC (NPI# 1053308452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053308452 |
| Entity Type | Organization |
| Organization Name | SKYLINE PAIN CLINIC |
| Practice Address |
5315 Adams Ave Pkwy Suite A Ogden UT 84405-4766 |
| Mailing Address |
Po Box 9519 Ogden UT 84409-0519 |
| Practice Telephone | 8014764448 |
| Practice Fax Number | 8014764449 |
| Mailing Telephone | 8014764448 |
| Mailing Fax Number | 8014764449 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2009-12-23 |
| Authorized Official Name | DR. JAHAN IMANI (OWNER) |
| Authorized Official Telephone | 8014764448 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
260615 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5315 ADAMS AVE PKWY SUITE A |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-4766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342414 | Interventional Spine & Pain Management | Pain Medicine | 1276 Wall Ave Ste 2, Ogden, UT 84404-5673 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487999488 | Bryan Hainsworth | Pain Medicine | 2850 N 2000 W # 203, Farr West, UT 84404-9219 | 2012-12-01 |
| 1801131156 | Wasatch Pain and Hormone | Pain Medicine | 1513 N Hill Field Rd, Suite 5, Layton, UT 84041-2162 | 2012-11-27 |
| 1891054771 | Lynx Medical Services Organization | Pain Medicine | 777 E 2100 S, Salt Lake City, UT 84106-1829 | 2012-05-11 |
| 1295028603 | Spero Pain Relief Therapy, LLC | Pain Medicine | 249 E Tabernacle St Ste 301, Saint George, UT 84770-2995 | 2011-05-17 |
| 1811220304 | Advanced Pain Management, LLC | Pain Medicine | 620 S 400 E Ste 201, St George, UT 84770-7060 | 2009-09-15 |
| 1043299357 | Scott Werner | Pain Medicine | 2850 N 2000 W Ste 203, Farr West, UT 84404 | 2006-01-13 |
| 1073512745 | Richard M Rosenthal | Pain Medicine | 3585 N University Ave Ste 150, Provo, UT 84604-6630 | 2005-07-15 |
| 1851399141 | Mark M Passey | Pain Medicine | 5810 S 300 E, #300, Murray, UT 84107 | 2005-07-11 |
| 1336637263 | Summit Medical Pain & Spine | Pain Medicine | 4465 S 900 E Ste 275, Millcreek, UT 84124-2644 | 2018-04-26 |
| 1912435744 | Ihc Health Services Inc | Pain Medicine | 2075 University Park Blvd, Layton, UT 84041-1611 | 2017-05-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.