CENTER FOR PAIN CARE P A


Address: 115 W Main St, Suite 102, Boise, ID 83702-7302
Phone: 2083424700

CENTER FOR PAIN CARE P A (NPI# 1023024684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023024684
Entity Type Organization
Organization Name CENTER FOR PAIN CARE P A
Practice Address 115 W Main St
Suite 102
Boise
ID 83702-7302
Practice Telephone 2083424700
Practice Fax Number 2083424710
Mailing Telephone 2083424700
Mailing Fax Number 2083424710
Enumeration Date 2006-08-01
Last Update Date 2007-07-19
Authorized Official Name DR. CLINTON MALLARI (ADMINISTRATOR)
Authorized Official Telephone 2083424700
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 115 W MAIN ST
SUITE 102
City BOISE
State ID
Zip Code 83702-7302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477941672 Beacon Pain Clinic Pain Medicine 115 W Main St, 102, Boise, ID 83702-7302 2014-12-23
1477972768 Holly Anne Piatt Dietitian, Registered 115 W Main St, Suite 203, Boise, ID 83702-7302 2014-04-15
1851591879 Michelle Mae Freshwater General Practice 115 W Main St, Suite 101, Boise, ID 83702-7302 2007-07-18
1417971847 Ambulatory Surgery Center of Boise Clinic/Center 115 W Main St, Suite 102, Boise, ID 83702-7302 2006-07-27
1154345585 Clinton Mallari Physical Medicine & Rehabilitation 115 W Main St, Suite 102, Boise, ID 83702-7302 2006-07-27
1265452239 Wilbur Allen Rader General Practice 115 W Main St, Suite 101, Boise, ID 83702-7302 2006-07-20

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NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
Find all providers in zip 83702

Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598305922 Rebekah Guy Physical Medicine & Rehabilitation 115 W Main St Ste 201, Boise, ID 83702-7303 2020-01-14
1790825842 Mark J Harris Physical Medicine & Rehabilitation 600 W Robbins Rd Ste 300, Boise, ID 83702-4568 2007-02-07
1609885870 N S Support LLC Physical Medicine & Rehabilitation 6140 W Curtisian Ave, Suite 400, Boise, ID 83704 2006-08-06
1710995170 Saint Alphonsus Physicians, Pa Physical Medicine & Rehabilitation 901 N Curtis Rd, Suite 304, Boise, ID 83706-1338 2006-08-03
1154345585 Clinton Mallari Physical Medicine & Rehabilitation 115 W Main St, Suite 102, Boise, ID 83702-7302 2006-07-27
1356377535 Daniel Richard Marsh Physical Medicine & Rehabilitation 8950 W Emerald St, Ste 168, Boise, ID 83704-8296 2006-06-23
1497711329 Idaho Physical Medicine and Rehabilitation Pa Physical Medicine & Rehabilitation 600 Robbins Rd, Suite #300, Boise, ID 83702-4539 2006-04-20
1093791972 Barbara E Quattrone Physical Medicine & Rehabilitation 600 Robbins Rd, Suite 300, Boise, ID 83702-4565 2005-12-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417267329 Idaho Pain Clinic Pllc Physical Medicine & Rehabilitation 1327 Superior St Ste 101, Sandpoint, ID 83864-2742 2010-10-13
1497949705 Idaho Physical Medicine and Rehabilitation Pa Physical Medicine & Rehabilitation 3551 E Overland Road, Meridian, ID 83642 2007-08-29
1427151539 Beth S Rogers Physical Medicine & Rehabilitation 360 E Montvue Dr Ste 100, Meridian, ID 83642-6318 2006-09-06
1386887032 Michael Bryon Spackman Physical Medicine & Rehabilitation 360 E Montvue Dr, Suite 100, Meridian, ID 83642 2009-04-10
1396945069 James H Morland, Md Physical Medicine & Rehabilitation 3875 E Overland Rd, Suite 200, Meridian, ID 83642-9005 2007-07-20
1780769075 Kevin S Hill Physical Medicine & Rehabilitation 777 Hospital Way, Suite G15, Pocatello, ID 83201-5175 2006-10-26
1215975164 James H Morland Physical Medicine & Rehabilitation 3875 E Overland Rd, Suite 200, Meridian, ID 83642-9005 2006-06-03

Competitor

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City BOISE
Zip Code 83702

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Dataset Information

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.

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