ALTA PAIN PHYSICIANS, PLLC (NPI# 1063721850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063721850 |
| Entity Type | Organization |
| Organization Name | ALTA PAIN PHYSICIANS, PLLC |
| Practice Address |
11333 S 1000 E #102 Sandy UT 84094-5428 |
| Practice Telephone | 8014622205 |
| Practice Fax Number | 8017501030 |
| Mailing Telephone | 8014622205 |
| Mailing Fax Number | 8017481030 |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-11-18 |
| Authorized Official Name | RYSHELLE HUBERT (PRACTICE MANAGER) |
| Authorized Official Telephone | 8017508210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
11333 S 1000 E #102 |
| City | SANDY |
| State | UT |
| Zip Code | 84094-5428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426621 | Max S Lundberg | Internal Medicine | 11333 S 1000 E, Suite 100, Sandy, UT 84094 | 2005-08-31 |
| 1023495132 | James Glines | Physical Therapy Assistant | 11333 S 1000 E, 101, Sandy, UT 84094-5428 | 2015-04-28 |
| 1366627846 | Don H Hansen Physical Therapy Inc | Physical Therapist | 11333 S 1000 E, Ste 101, Sandy, UT 84094-5429 | 2008-01-03 |
| 1437294253 | South Valley Rheumatology PC | Internal Medicine | 11333 S 1000 E, Suite 100, Sandy, UT 84094-5429 | 2007-02-20 |
| 1487711123 | Michael Ming-chi Chen | Physical Medicine & Rehabilitation | 11333 S 1000 E, Suite 102, Sandy, UT 84094-5428 | 2007-01-02 |
| 1841307964 | Mountain Land Precision Therapy Lc | Physical Therapist | 11333 S 1000 E, Sandy, UT 84094 | 2006-08-24 |
| 1205820693 | Richard B Gremillion | Internal Medicine | 11333 S 1000 E, Ste 100, Sandy, UT 84094-5429 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316160534 | Evergreen Medical, Inc. | Pain Medicine | 10011 Centennial Pkwy, Suite 500, Sandy, UT 84070-4156 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972862605 | Intermountain Pain Management and Injury, Inc | Pain Medicine | 6575 S Redwood Rd, St 201, Taylorsville, UT 84123-5688 | 2012-05-15 |
| 1285958439 | Advanced Spine Pain Specialists | Pain Medicine | 286 N Gateway Dr Ste 201, Providence, UT 84332-5603 | 2010-03-17 |
| 1619907490 | Kyle Shigeru Matsumura | Pain Medicine | 6750 S Highland Drive, Ste 100, Cottonwood Heights, UT 84121 | 2006-07-04 |
| 1326665829 | Wasatch Wellness Center LLC | Pain Medicine | 1215 S 1680 W, Orem, UT 84058-4939 | 2020-06-30 |
| 1689226391 | Utah Intermountain Pain Management | Pain Medicine | 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 | 2019-07-12 |
| 1568909836 | Glacier Peak Pain Care Pllc | Pain Medicine | 1407 N 2000 W, Clinton, UT 84015-8562 | 2017-01-25 |
| 1073959714 | Wasatch Sports, Spine & Pain Treatment Center Pllc | Pain Medicine | 680 E Main St, 202, Lehi, UT 84043-2241 | 2013-05-21 |
| 1841531340 | Wasatch Pain Solutions, PC | Pain Medicine | 661 W 10600 S, South Jordan, UT 84095-8524 | 2013-03-07 |
| 1376821587 | Canyon Ridge Pain and Spine PC | Pain Medicine | 1551 Renaissance Towne Dr, Suite 460, Bountiful, UT 84010-7667 | 2011-07-22 |
| 1861643330 | Craig William Davis | Pain Medicine | 3181 W 9000 So, West Jordan, UT 84088 | 2008-10-02 |
| Find all providers with the same taxonomy | ||||
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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.