IDAHO SPINE & PAIN PLLC (NPI# 1306291836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306291836 |
| Entity Type | Organization |
| Organization Name | IDAHO SPINE & PAIN PLLC |
| Practice Address |
1859 S Topaz Way Ste 106 Meridian ID 83642-4401 |
| Practice Telephone | 2086724640 |
| Practice Fax Number | 2089576300 |
| Mailing Telephone | 2086724640 |
| Mailing Fax Number | 2089576300 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | KARL R ZARSE (OWNER) |
| Authorized Official Telephone | 2086724640 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | M13074 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | IDAHO STATE BOARD OF MEDICINE | M13074 | 01 |
| TX | MEDICARE TX | 329858YP64 | 01 |
| TX | RAILROAD MEDICARE | P01568801 | 01 |
| Street Address |
1859 S TOPAZ WAY STE 106 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982633889 | Karl Zarse | Anesthesiology | 1859 S Topaz Way Ste 106, Meridian, ID 83642 | 2006-07-02 |
| 1356977011 | Benjamin Carey | Nurse Practitioner | 1859 S Topaz Way Ste 106, Meridian, ID 83642-4401 | 2020-03-13 |
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1275930174 | Medical Foundation, Inc. | Anesthesiology | 1200 16th Ave, Meridian, MS 39301-4209 | 2014-11-21 |
| 1558421651 | Gregory Alvin Auzenne | Anesthesiology | 4803 29th Ave Ste A, Meridian, MS 39305-2675 | 2006-12-11 |
| 1942212840 | Michael T. Salman | Anesthesiology | 4700 26th Ave, Meridian, MS 39305-4706 | 2006-08-12 |
| 1891707790 | Ben M. Grimes | Anesthesiology | 2107 N Hills St, Meridian, MS 39305-2657 | 2006-08-12 |
| 1982633889 | Karl Zarse | Anesthesiology | 1859 S Topaz Way Ste 106, Meridian, ID 83642 | 2006-07-02 |
| 1124412234 | Charles C Martin Iv | Anesthesiology | 1001 14th St, Meridian, MS 39301-4458 | 2015-03-26 |
| 1851527485 | Brett J. Person | Anesthesiology | 4700 26th Ave, Meridian Anesthesiology Group, Meridian, MS 39305-4706 | 2009-06-10 |
| 1073759494 | Anderson Regional Medical Center | Anesthesiology | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2009-01-07 |
| 1396943007 | Gregory J. Gravell | Anesthesiology | 1314 19th Ave, Meridian, MS 39301-4116 | 2007-07-03 |
| 1972709228 | Timothy H. Seymour | Anesthesiology | 1314 19th Ave, Meridian, MS 39301-4116 | 2007-06-25 |
| Find all providers in MERIDIAN | ||||
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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.