OMEGA INTERVENTIONAL PAIN PLLC (NPI# 1417253907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417253907 |
| Entity Type | Organization |
| Organization Name | OMEGA INTERVENTIONAL PAIN PLLC |
| Practice Address |
3838 S 700 E Ste 300 Salt Lake City UT 84106-1466 |
| Practice Telephone | 8012614988 |
| Practice Fax Number | 8012699425 |
| Mailing Telephone | 8012614988 |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-07-15 |
| Authorized Official Name | STEVEN PULLEY (OWNER) |
| Authorized Official Telephone | 8012614988 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ALPINE MEDICAL GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3838 S 700 E STE 300 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561072 | Arun V Bidwai | Anesthesiology | 3838 S 700 E, Salt Lake City, UT 84106-1496 | 2005-07-08 |
| 1720527245 | Helen Powell | Nurse Practitioner | 3838 S 700 E, Ste 100, Salt Lake City, UT 84106-1466 | 2017-02-16 |
| 1851840706 | Paula Weaver | Physician Assistant | 3838 S 700 E, Salt Lake City, UT 84106-1466 | 2016-10-03 |
| 1346644135 | Deborah Hatch | Physician Assistant | 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1466 | 2014-10-22 |
| 1770836397 | Scott William Hadfield | Physician Assistant | 3838 S 700 E, Suite 300a, Salt Lake City, UT 84106-1466 | 2012-10-19 |
| 1336442680 | Anita Mcdonald | Nurse Practitioner | 3838 S 700 E, Ste 100, Salt Lake City, UT 84106-1466 | 2010-12-08 |
| 1548599814 | Shauna Olsen | Nurse Practitioner | 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1466 | 2009-12-16 |
| 1376773556 | Kristin Elizabeth Barber | Nurse Practitioner | 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1466 | 2009-07-21 |
| 1164666327 | Keri Lynn Fakata | Pharmacist | 3838 S 700 E, Suite 200, Salt Lake City, UT 84106-1466 | 2009-04-30 |
| 1437343613 | Suzanne Senser | Physical Therapist | 3838 S 700 E, Suite 300a, Salt Lake City, UT 84106-1466 | 2007-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891054771 | Lynx Medical Services Organization | Pain Medicine | 777 E 2100 S, Salt Lake City, UT 84106-1829 | 2012-05-11 |
| 1629476502 | University of Utah Behavioral Health Services | Pain Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-12-09 |
| 1891793147 | Thomas K Trauba | Pain Medicine | 3838 S 700 E, Salt Lake City, UT 84106-1496 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342414 | Interventional Spine & Pain Management | Pain Medicine | 1276 Wall Ave Ste 2, Ogden, UT 84404-5673 | 2019-12-03 |
| 1487999488 | Bryan Hainsworth | Pain Medicine | 2850 N 2000 W # 203, Farr West, UT 84404-9219 | 2012-12-01 |
| 1801131156 | Wasatch Pain and Hormone | Pain Medicine | 1513 N Hill Field Rd, Suite 5, Layton, UT 84041-2162 | 2012-11-27 |
| 1295028603 | Spero Pain Relief Therapy, LLC | Pain Medicine | 249 E Tabernacle St Ste 301, Saint George, UT 84770-2995 | 2011-05-17 |
| 1811220304 | Advanced Pain Management, LLC | Pain Medicine | 620 S 400 E Ste 201, St George, UT 84770-7060 | 2009-09-15 |
| 1043299357 | Scott Werner | Pain Medicine | 2850 N 2000 W Ste 203, Farr West, UT 84404 | 2006-01-13 |
| 1073512745 | Richard M Rosenthal | Pain Medicine | 3585 N University Ave Ste 150, Provo, UT 84604-6630 | 2005-07-15 |
| 1851399141 | Mark M Passey | Pain Medicine | 5810 S 300 E, #300, Murray, UT 84107 | 2005-07-11 |
| 1336637263 | Summit Medical Pain & Spine | Pain Medicine | 4465 S 900 E Ste 275, Millcreek, UT 84124-2644 | 2018-04-26 |
| 1912435744 | Ihc Health Services Inc | Pain Medicine | 2075 University Park Blvd, Layton, UT 84041-1611 | 2017-05-24 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
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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.