PAIN SPECIALISTS OF IDAHO (NPI# 1992070809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992070809 |
| Entity Type | Organization |
| Organization Name | PAIN SPECIALISTS OF IDAHO |
| Practice Address |
2375 E Sunnyside Rd Ste J Idaho Falls ID 83404-8281 |
| Practice Telephone | 2085227246 |
| Practice Fax Number | 2085292620 |
| Mailing Telephone | 2085227246 |
| Mailing Fax Number | 2085292620 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |
| Authorized Official Name | CORI D ANDERSON (BILLING MANAGER) |
| Authorized Official Telephone | 2085227246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
SPHY11061 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063725083 | Pain Specialists of Idaho | Clinic/Center | 2375 E Sunnyside Rd, Suite 'j', Idaho Falls, ID 83404-8280 | 2010-07-19 |
| Street Address |
2375 E SUNNYSIDE RD STE J |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649221912 | Matthew R Nelson | Physician Assistant | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2006-05-12 |
| 1649753740 | Jared William Rickabaugh | Nurse Practitioner | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2018-09-13 |
| 1659681534 | Manual Solutions Pllc | Physical Therapist | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2010-10-13 |
| 1255449898 | High Valley Dermatology & Dermatologic Surgery, PC | Dermatology | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| 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 |
| 1154681633 | Daric J Russell | Anesthesiology | 3385 Potomac Way, Idaho Falls, ID 83404-4978 | 2012-05-18 |
| 1669785192 | Wind River Pain Management Pllc | Anesthesiology | 1975 Martha Ave, Suite B, Idaho Falls, ID 83404-7580 | 2010-07-26 |
| 1578760518 | Bmh, Inc. | Anesthesiology | 2375 E Sunnyside Rd, Idaho Falls, ID 83404-8280 | 2007-07-02 |
| 1588778708 | Holly Zoe | Anesthesiology | 2060 S Woodruff Ave, Idaho Falls, ID 83404-6396 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1649460130 | Bmh, Inc. | Anesthesiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-07-31 |
| 1255539193 | Bmh, Inc. | Anesthesiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-07-03 |
| 1881897932 | Ryan Don Hope | Anesthesiology | 2240 E Center St, Pocatello, ID 83201 | 2007-06-07 |
| 1275746646 | Gary D Call | Anesthesiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-05-08 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.