DR. SCOTT KARL MAGNUSON (NPI# 1174593404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174593404 |
| Entity Type | Individual |
| Full Name | DR. SCOTT KARL MAGNUSON |
| Credential | MD |
| Practice Address |
1686 W Riverstone Dr Ste 1 Coeur D Alene ID 83814-5779 |
| Practice Telephone | 2087654807 |
| Practice Fax Number | 2087652903 |
| Mailing Telephone | 2087654807 |
| Mailing Fax Number | 2087652903 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2016-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
M7860 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962859389 | Scott Magnuson | Clinical Neuropsychologist | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2016-05-16 |
| Street Address |
1686 W RIVERSTONE DR STE 1 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-5779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104896422 | North Idaho Pain Center LLC | Clinic/Center | 1686 W Riverstone Dr, Ste 2, Coeur D Alene, ID 83814-5779 | 2006-01-26 |
| 1972944866 | Denise Christine Love | Nurse Practitioner | 1686 W Riverstone Dr, Ste 1, Coeur D Alene, ID 83814-5779 | 2013-07-09 |
| 1467583153 | Pain Management of North Idaho, Pllc | Pain Medicine | 1686 W Riverstone Dr, Ste 1, Coeur D Alene, ID 83814-5779 | 2007-03-07 |
| 1831110568 | Patricia Ann Bullick | Social Worker | 1686 W Riverstone Dr, Coeur D Alene, ID 83814-6051 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1114171519 | Advanced Pain Management Pllc | Anesthesiology | 2275 So Eagle Rd, Sute 160, Meridian, ID 83642 | 2008-11-11 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| 1235472531 | Eli J Harris | Anesthesiology | 4424 E Flamingo, Ste 310, Nampa, ID 83687 | 2013-04-04 |
| 1801143029 | Teton Valley Health Care, Inc | Anesthesiology | 83 N Main St, Victor, ID 83455-0368 | 2012-08-07 |
| 1154681633 | Daric J Russell | Anesthesiology | 3385 Potomac Way, Idaho Falls, ID 83404-4978 | 2012-05-18 |
| 1992070809 | Pain Specialists of Idaho | Anesthesiology | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2012-03-12 |
| 1669785192 | Wind River Pain Management Pllc | Anesthesiology | 1975 Martha Ave, Suite B, Idaho Falls, ID 83404-7580 | 2010-07-26 |
| 1629227616 | Prashanth Sirigere Manjunath | Anesthesiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2008-09-15 |
| 1366622300 | Cornerstone Anesthesia Pa | Anesthesiology | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2007-11-07 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.