INTERMOUNTAIN PAIN CENTER (NPI# 1194822080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194822080 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN PAIN CENTER |
| Practice Address |
5770 S 250 E Salt Lake City UT 84107-8100 |
| Practice Telephone | 8013144438 |
| Mailing Telephone | 8013144438 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRISTOPHER T CALDWELL (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8013144430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians | ||
| X | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
5770 S 250 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023323318 | Karla O Howe | Registered Nurse | 5770 S 250 E, #310, Salt Lake City, UT 84107-8100 | 2010-08-11 |
| 1255452306 | Stephanie Ann Obradorich | Physical Therapist | 5770 S 250 E, Suite G, Salt Lake City, UT 84107-8100 | 2007-04-03 |
| 1912042284 | Regis Optical, Inc | Optometrist | 5770 S 250 E, Suite 410, Salt Lake City, UT 84107-8100 | 2007-02-21 |
| 1528071156 | Randall J Ryser | Internal Medicine | 5770 S 250 E, Suite 445, Salt Lake City, UT 84107-8100 | 2006-08-14 |
| 1669491031 | Robert Merrill | Obstetrics & Gynecology | 5770 S 250 E, Suite G-50, Salt Lake City, UT 84107-8100 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184890063 | Gregg Cary Lund | Neuromusculoskeletal Medicine & OMM | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811423080 | Christopher Ryan Edwards | Neuromusculoskeletal Medicine & OMM | 1888 W 800 N, Pleasant Grove, UT 84062-4097 | 2017-05-10 |
| 1689832412 | Craig D Chappell | Neuromusculoskeletal Medicine & OMM | 1888 W 800 N, Pleasant Grove, UT 84062 | 2008-05-29 |
| 1538342290 | South Valley Neurological Associates P.c | Neuromusculoskeletal Medicine & OMM | 9844 S 1300 E, Ste 125, Sandy, UT 84094-4673 | 2007-12-17 |
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.