DR. MICHAEL D SEVERSON (NPI# 1205827904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205827904 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D SEVERSON |
| Credential | MD |
| Practice Address |
520 S Eagle Rd Suite 1222 Meridian ID 83642-6351 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2089472266 |
| Practice Fax Number | 2089472267 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2014-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | M8793 | ID | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
M8793 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806625400 | 05 | |
| ID | RAILROAD MEDICARE | P00036983 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124522883 | Michael Chandler Severson | Emergency Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2018-03-19 |
| 1376844902 | Michael B Severson | Behavioral Analyst | 625 Clay St, Kerrville, TX 78028-4586 | 2010-11-12 |
| 1477528057 | Michael James Severson | Emergency Medicine | 1406 Sixth Ave N, St Cloud, MN 56301 | 2006-02-17 |
| 1457339426 | Michael Severson | Pediatrics | 2024 S 6th St, Brainerd, MN 56401-4529 | 2006-01-09 |
| Street Address |
520 S EAGLE RD SUITE 1222 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348015 | Robert E. Holland Jr. | Family Medicine | 520 S Eagle Rd, Ste 1241, Meridian, ID 83642-6351 | 2005-07-07 |
| 1659984284 | Heather R Zimmerman | Occupational Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-24 |
| 1619587573 | Maria Herbison | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-05 |
| 1952927543 | Grayson T Kendall | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-19 |
| 1891310371 | David Joseph Matthews | Respiratory Therapist, Registered | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-10 |
| 1356960603 | Rebecca Finder | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-04-15 |
| 1982231023 | Stephen Blake Miltner | Physical Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-26 |
| 1093342834 | Clayton Hawks | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-23 |
| 1912547647 | Emily Tyler Getlein Marques | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-01-10 |
| 1184264244 | Jordan Leach | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1922512722 | Bmh Inc. | Pain Medicine | 1975 Martha Ave # A, Idaho Falls, ID 83404-7580 | 2017-12-01 |
| 1396982989 | Pain Relief Institute | Pain Medicine | 755 Yellowstone Ave, Suite 182, Pocatello, ID 83201-4406 | 2009-01-19 |
| 1386605236 | Idaho Pain Center | Pain Medicine | 8950 W Emerald, Ste 168, Boise, ID 83704 | 2006-03-30 |
| 1962916304 | Falls Centre for Functional Medicine, Pllc. | Pain Medicine | 236 Martin St, Twin Falls, ID 83301-4542 | 2017-11-21 |
| 1073032413 | Bmh Inc. | Pain Medicine | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2017-09-18 |
| 1699141150 | Mountain View Hospital LLC | Pain Medicine | 1595 Yellowstone Ave, Pocatello, ID 83201-4203 | 2015-08-18 |
| 1770963274 | Elevate Health Group Pllc | Pain Medicine | 420 W Main St, #206, Boise, ID 83702-7284 | 2015-06-01 |
| 1154542355 | Rebekah Elizabeth Guy | Pain Medicine | 1055 North Curtis Road, South Tower, 6th Floor, Boise, ID 83706-1309 | 2007-05-02 |
| 1821156365 | Richard Alan Dubose | Pain Medicine | 600 N Robbins Rd, Suite 300, Boise, ID 83702-4565 | 2006-12-05 |
| 1730140682 | Idaho Interventional Pain Center | Pain Medicine | 8950 W Emerald, Ste 164, Boise, ID 83704 | 2006-03-30 |
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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.