LYNDAL E STOUTIN (NPI# 1245240761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245240761 |
| Entity Type | Individual |
| Full Name | LYNDAL E STOUTIN |
| Credential | M.D. |
| Practice Address |
2841 Juniper Dr Lewiston ID 83501-4719 |
| Practice Telephone | 2087439712 |
| Practice Fax Number | 2082980212 |
| Mailing Telephone | 2087439712 |
| Mailing Fax Number | 2082980212 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
M-5693 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
2841 JUNIPER DR |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760403893 | Craig G Flinders | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2006-07-22 |
| 1629229869 | Interventional Pain Consultants Pa | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2008-10-07 |
| 1457533937 | Interventional Pain Consultants Pa | Physician Assistant | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2007-11-27 |
| 1366622300 | Cornerstone Anesthesia Pa | Anesthesiology | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2007-11-07 |
| 1659493385 | Randall Wayne Harper | Counselor | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2007-04-04 |
| 1326050204 | Ipc Surgical Center LLC | Clinic/Center | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2006-08-12 |
| 1356353239 | Interventional Pain Consultants Pa | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| 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 |
|---|---|---|---|---|
| 1760403893 | Craig G Flinders | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2006-07-22 |
| 1629229869 | Interventional Pain Consultants Pa | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2008-10-07 |
| 1356353239 | Interventional Pain Consultants Pa | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588832992 | Idaho Pain Medicine, LLP | Pain Medicine | 8950 W Emerald St Ste 168, Boise, ID 83704-8296 | 2008-02-19 |
| 1427273853 | Kimberly A Vorse Md PC | Pain Medicine | 380 Washington Ave Suite 201, Ketchum, ID 83340 | 2007-04-13 |
| 1740238849 | Patrick Edward Farrell | Pain Medicine | 301 W Myrtle St, Boise, ID 83702-7656 | 2006-05-04 |
| 1508825456 | Shane A Maxwell | Pain Medicine | 3551 E Overland Rd, Meridian, ID 83642-6757 | 2006-03-20 |
| 1013556596 | Gritman Medical Center Inc | Pain Medicine | 804 S Washington St Ste A, Moscow, ID 83843-3182 | 2019-12-31 |
| 1639657521 | Heather Mckenzie | Pain Medicine | 2177 W Ironwood Center Dr, Coeur D Alene, ID 83814 | 2018-08-01 |
| 1336519891 | Timothy E. Snell, Md, Pllc | Pain Medicine | 2240 E Center St, Pocatello, ID 83201-2600 | 2015-09-28 |
| 1477941672 | Beacon Pain Clinic | Pain Medicine | 115 W Main St, 102, Boise, ID 83702-7302 | 2014-12-23 |
| 1366849572 | Exodus Pain Clinic | Pain Medicine | 3875 E Overland Rd, Suite 200, Meridian, ID 83642-9005 | 2014-12-03 |
| 1609191881 | Christian Becker | Pain Medicine | 2060 S Woodruff Ave, Idaho Falls, ID 83404-6396 | 2010-03-31 |
| 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.