INNOVATION PAIN MANAGEMENT, LLC (NPI# 1073807939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073807939 |
| Entity Type | Organization |
| Organization Name | INNOVATION PAIN MANAGEMENT, LLC |
| Other Organization Name | INNOVATION PAIN MANAGMENT, LLC-AMBULATORY SURGERY CENTER |
| Practice Address |
1988 W 930 N Suite B Pleasant Grove UT 84062-4131 |
| Practice Telephone | 8018992053 |
| Practice Fax Number | 8014927615 |
| Mailing Telephone | 8018992053 |
| Mailing Fax Number | 8014927615 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2014-09-10 |
| Authorized Official Name | NATHAN DEE MILLER (MANAGING MEMBER) |
| Authorized Official Telephone | 8018992053 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| INNOVATION PAIN MANAGMENT, LLC-AMBULATORY SURGERY CENTER | Doing Business As Name - Organization |
| Street Address |
1988 W 930 N SUITE B |
| City | PLEASANT GROVE |
| State | UT |
| Zip Code | 84062-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578768172 | Joel David Templeton | Chiropractor | 1988 W 930 N, Pleasant Grove, UT 84062 | 2007-06-15 |
| 1699322982 | Prp Chiropractic | Chiropractor | 1988 W 930 N, Pleasant Grove, UT 84062-4131 | 2019-08-21 |
| 1457816787 | Parker Pratt | Chiropractor | 1988 W 930 N, Pleasant Grove, UT 84062-4131 | 2019-01-31 |
| 1477071686 | David Todd Hakanson Sr. | Chiropractor | 1988 W 930 N, Pleasant Grove, UT 84062-4131 | 2017-09-07 |
| 1609302843 | Spinal Rehab of North County | Chiropractor | 1988 W 930 N, Pleasant Grove, UT 84062-4131 | 2017-05-09 |
| 1417498056 | Spinal Rehab of North County | Clinic/Center | 1988 W 930 N, Pleasant Grove, UT 84062-4131 | 2017-03-15 |
| 1922400613 | Us Pain Management LLC | Clinic/Center | 1988 W 930 N, Pleasant Grove, UT 84062-4131 | 2014-09-24 |
| 1235548512 | Matthew Finlinson | Chiropractor | 1988 W 930 N, Pleasant Grove, UT 84062-4131 | 2014-08-12 |
| 1194057703 | Utah Fertility Center | Specialist | 1988 W 930 N, Suite B, Pleasant Grove, UT 84062-4131 | 2010-02-06 |
| 1386870111 | Elite Performance Health Center - Utah County, PC | Chiropractor | 1988 W 930 N, Pleasant Grove, UT 84062-4104 | 2009-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934406 | Welcome Home Assisted Living of American Fork | Assisted Living Facility | 1889 W 930 N, Pleasant Grove, UT 84062 | 2018-09-06 |
| 1497243414 | Doterra Employee Health Systems, LLC | Family Medicine | 1364 Pleasant Grove Blvd., Floor 3, Pleasant Grove, UT 84062 | 2018-04-25 |
| 1720588080 | Us Sports Medicine, LLC | Clinic/Center | 1982 W. Pleasant Grove Blvd, Suite L, Pleasant Grove, UT 84062 | 2018-02-13 |
| 1235669011 | Rapid Reboot Recovery Products LLC | Durable Medical Equipment & Medical Supplies | 1262 W 3150 N, Pleasant Grove, UT 84062 | 2017-06-14 |
| 1497126486 | Trumobility Inc. | Durable Medical Equipment & Medical Supplies | 272 S 671 W, Pleasant Grove, UT 84062 | 2015-10-15 |
| 1295146272 | North County Medical | Chiropractor | 1988 West 930 North Suite Number A, Pleasant Grove, UT 84062 | 2014-05-13 |
| 1861814493 | Trent Edwards | Case Manager/Care Coordinator | 365 West 1420 North, Pleasant Grove, UT 84062 | 2014-01-16 |
| 1013342690 | Michael M. Haderlie | Psychologist | 233 S. Pleasant Grove Blvd, Suite 203, Pleasant Grove, UT 84062 | 2013-09-13 |
| 1194157123 | Brianna Lastre | Nurse Practitioner | 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 | 2013-08-01 |
| 1356619266 | Melinda Buchanan-emery | Marriage & Family Therapist | 459 East 1000 South, Pleasant Grove, UT 84062 | 2011-12-06 |
| Find all providers in zip 84062 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760939367 | Utah Valley Surgery Center, LLC | Clinic/Center | 2168 West Grove Parkway, Suite 101, Pleasant Grove, UT 84062-6711 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037703 | Cache Valley Surgery Center, LLC | Clinic/Center | 630 E 1400 N Ste 120, Logan, UT 84341-2691 | 2020-06-09 |
| 1285255133 | Creek Capital Surgical Arts | Clinic/Center | 1275 E Fort Union Blvd Ste 100, Midvale, UT 84047-1890 | 2020-05-01 |
| 1639704208 | Salt Lake Surgery Center, LLC | Clinic/Center | 1046 E 100 S Ste D, Salt Lake City, UT 84102-1520 | 2020-03-04 |
| 1891347597 | Utah Intermountain Surgical Center LLC | Clinic/Center | 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 | 2019-07-12 |
| 1326512070 | Richfield Surgery Center, LLC | Clinic/Center | 860 N Main St Ste A, Richfield, UT 84701-1840 | 2019-01-16 |
| 1104301613 | Logan Surgical Suites LLC | Clinic/Center | 55 East Golf Course Road, Logan, UT 84321-0001 | 2018-10-01 |
| 1225510159 | Southwest Surgery Center LLC | Clinic/Center | 161 W 200 N Ste 105, Saint George, UT 84770-7386 | 2018-09-06 |
| 1548754427 | Union Park Surgical Center LLC | Clinic/Center | 7001 S 900 E Ste 100, Midvale, UT 84047-1700 | 2018-06-14 |
| 1982101515 | Surgical Specialists LLC | Clinic/Center | 10 W Scenic Pointe Dr Ste 102, Draper, UT 84020-6124 | 2018-04-10 |
| 1346611035 | Surgical Specialties LLC | Clinic/Center | 2940 N Church St, Layton, UT 84040-6614 | 2015-10-07 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT GROVE |
| Zip Code | 84062 |
Please comment or provide details below to improve the information on INNOVATION PAIN MANAGEMENT, LLC.
| 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.