IDAHO PAIN CLINIC PLLC (NPI# 1417267329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417267329 |
Entity Type | Organization |
Organization Name | IDAHO PAIN CLINIC PLLC |
Other Organization Name | SELKIRK INTERVENTIONAL PAIN |
Practice Address |
1327 Superior St Ste 101 Sandpoint ID 83864-2742 |
Practice Telephone | 2089658118 |
Practice Fax Number | 2089658128 |
Mailing Telephone | 2089658118 |
Mailing Fax Number | 2089658128 |
Enumeration Date | 2010-10-13 |
Last Update Date | 2015-01-22 |
Authorized Official Name | JEFFREY S ISPIRESCU (OWNER) |
Authorized Official Telephone | 2089658118 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 3106958 | 05 |
Other Name | Type Code |
---|---|
Selkirk Interventional Pain | Former Legal Business Name - Organization |
Street Address |
1327 SUPERIOR ST STE 101 |
City | SANDPOINT |
State | ID |
Zip Code | 83864-2742 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
Find all providers in zip 83864 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952345241 | Jeffrey Sorin Ispirescu | Anesthesiology | 1327 Superior St, Suite 101, Sandpoint, ID 83864-1735 | 2006-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
1114171519 | Advanced Pain Management Pllc | Anesthesiology | 2275 So Eagle Rd, Sute 160, Meridian, ID 83642 | 2008-11-11 |
1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
1235472531 | Eli J Harris | Anesthesiology | 4424 E Flamingo, Ste 310, Nampa, ID 83687 | 2013-04-04 |
1801143029 | Teton Valley Health Care, Inc | Anesthesiology | 83 N Main St, Victor, ID 83455-0368 | 2012-08-07 |
1154681633 | Daric J Russell | Anesthesiology | 3385 Potomac Way, Idaho Falls, ID 83404-4978 | 2012-05-18 |
1992070809 | Pain Specialists of Idaho | Anesthesiology | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2012-03-12 |
1669785192 | Wind River Pain Management Pllc | Anesthesiology | 1975 Martha Ave, Suite B, Idaho Falls, ID 83404-7580 | 2010-07-26 |
1629227616 | Prashanth Sirigere Manjunath | Anesthesiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2008-09-15 |
1366622300 | Cornerstone Anesthesia Pa | Anesthesiology | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2007-11-07 |
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.