INTERVENTIONAL PAIN SOLUTIONS PLLC (NPI# 1306246525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306246525 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN SOLUTIONS PLLC |
| Practice Address |
2016 S Eagle Rd Meridian ID 83642-6707 |
| Mailing Address |
8929 Se Bridge Rd Hobe Sound FL 33455-5312 |
| Practice Telephone | 2082846488 |
| Mailing Telephone | 7725469591 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |
| Authorized Official Name | DR. JAMES PADULA (OWNER) |
| Authorized Official Telephone | 9546442880 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C1-0010888 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1083744957 | 01 |
| Street Address |
2016 S EAGLE RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245201524 | Justin Dudley Griffin | Chiropractor | 2016 S Eagle Rd, Meridian, ID 83642 | 2006-01-27 |
| 1770119422 | Rebecca Lynn Kent | Nurse Practitioner | 2016 S Eagle Rd, Meridian, ID 83642-6707 | 2020-03-13 |
| 1477018489 | Shaun Mar Dc LLC | Chiropractor | 2016 S Eagle Rd, Meridian, ID 83642-6707 | 2019-02-04 |
| 1952807836 | Shaun Mar | Chiropractor | 2016 S Eagle Rd, Meridian, ID 83642 | 2018-04-01 |
| 1881144780 | Meridian Physical Medicine | Nurse Practitioner | 2016 S Eagle Rd, Suite B, Meridian, ID 83642-6707 | 2016-10-04 |
| 1033562319 | Back 2 Life Medical Inc | Chiropractor | 2016 S Eagle Rd, Meridian, ID 83642-6707 | 2016-07-21 |
| 1295121747 | Advanced Medical Center | Chiropractor | 2016 S Eagle Rd, Meridian, ID 83642-6707 | 2015-04-11 |
| 1487050464 | Kathy Weathers | Massage Therapist | 2016 S Eagle Rd, Meridian, ID 83642-6707 | 2014-11-18 |
| 1710383799 | Adrienne Griebe | Massage Therapist | 2016 S Eagle Rd, Meridian, ID 83642-6707 | 2014-11-18 |
| 1770989238 | Sara Rose | Massage Therapist | 2016 S Eagle Rd, Meridian, ID 83642-6707 | 2014-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821486812 | Tami Sue Lee | Specialist | 841 E Fairview Ave Ste 100, Meridian, ID 83642-9386 | 2014-12-29 |
| 1164822029 | Robert Francis Malison | Specialist | 3975 E Clocktower Ln Apt 326, Meridian, ID 83642-9141 | 2014-08-28 |
| 1073788337 | Cheree L Eveland | Specialist | 3455 Woodmont Dr, Meridian, ID 83646-1166 | 2008-04-28 |
| 1952504623 | Benjamin Edgar Box | Specialist | 4807 11th Pl, Meridian, MS 39305-2771 | 2007-06-08 |
| 1669594974 | Mark Garry Murray | Specialist | 1400 20th Ave Ste C, Meridian, MS 39301-4103 | 2007-04-06 |
| 1811081896 | Adam M Cope | Specialist | 2176 E Franklin Rd, Suite 100, Meridian, ID 83642-9024 | 2006-10-03 |
| 1366536609 | Charles Guy Riddle | Specialist | 1626 S Wells Ave Ste 105, Meridian, ID 83642-4528 | 2006-10-03 |
| 1043318280 | Lee Kinsey Thornton | Specialist | 5002 Highway 39 N Bldg C, Meridian, MS 39301-1078 | 2006-09-20 |
| 1154423804 | Woody D. Davis | Specialist | 5002 Highway 39 N, Bldg. B, Meridian, MS 39301-1078 | 2006-09-02 |
| 1144275694 | Robert Lantz Davidson | Specialist | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2006-05-23 |
| Find all providers in MERIDIAN | ||||
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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.